Provider Demographics
NPI:1538354766
Name:TOMPKINS, BRYAN J (MD)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:J
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SHRINERS HOSPITALS FOR CHILDREN SPOKANE
Mailing Address - Street 2:DEPT 5046
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90084-5046
Mailing Address - Country:US
Mailing Address - Phone:813-281-8478
Mailing Address - Fax:813-281-8113
Practice Address - Street 1:911 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2901
Practice Address - Country:US
Practice Address - Phone:509-623-0428
Practice Address - Fax:509-623-0415
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2010-06-18
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Provider Licenses
StateLicense IDTaxonomies
WAMD00048099207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery