NPI 1073985057

Bryan James Antonius, RT

Practitioner Radiography Radiologic Technologist Bonney Lake, WA

Practice location

Address: 10004 204th Ave E Suite 2600, Bonney Lake, WA 98391-6539
Phone: (253) 446-3983
Fax: (253) 862-5004

Registered specialties (2)

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence RT 60584477 (WA)

Other Radiologic Technologist providers in Washington →

Radiography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence CRT-17967 (AZ)

Registry record

NPI: 1073985057
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2015
Record last updated: 29 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.