BRYN VAN HOOMISSEN
Anesthesiology
Active
Individual
NPI: 1457779522
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Anesthesiology | 207L00000X | Yes | MED-PHYS-LIC-66778 (MT) |
Frequently Asked Questions
NPI 1457779522 is the National Provider Identifier for BRYN VAN HOOMISSEN, a Anesthesiology provider located in Missoula, MT. This NPI was enumerated on April 4, 2014.
BRYN VAN HOOMISSEN practices at 2825 STOCKYARD RD STE I-200, Missoula, MT 59808.
Quick Facts
- NPI
- 1457779522
- Type
- Individual
- Enumerated
- Apr 4, 2014
- Last Updated
- Jun 20, 2018
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