Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYAN JAMES ANTONIUS, R.T.
Active Sole ProprietorMR. BRYAN JAMES ANTONIUS, R.T. is a 2471C3402X healthcare provider located in BONNEY LAKE, Washington. NPI 1073985057 is currently active in the NPPES registry. Verify at CMS.
2471C3402X · BONNEY LAKE, WA
Registration Details
- NPI Number
- 1073985057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2015 (10.764037649898 yrs)
- Last Updated
- Oct 29, 2015
- Licenses
-
RT 60584477 (WA)CRT-17967 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10004 204TH AVE ESUITE 2600BONNEY LAKE, WA, 983916539Browse WA providers · Browse ZIP 98391
- Phone
- 2534463983
- Fax
- 2538625004
- Primary Specialty
-
2471C3402X
2471C3402X
- Additional Specialty
- 2471C3402X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.