Provider Demographics
NPI:1295311330
Name:BRYANT, GAYLE ANNE (CPC)
Entity type:Individual
Prefix:
First Name:GAYLE
Middle Name:ANNE
Last Name:BRYANT
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2419 E DESMET AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-3704
Mailing Address - Country:US
Mailing Address - Phone:509-919-3362
Mailing Address - Fax:
Practice Address - Street 1:112 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1541
Practice Address - Country:US
Practice Address - Phone:509-919-3362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist