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NPI Code Detail

MEDICARE: CRYSTAL MARIE OBRYANT

MEDICARE: CRYSTAL MARIE OBRYANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistCG61562088WA

General Provider Information

NPI Number : 1508792615
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL MARIE OBRYANT
Provider Business Mailing Address
First Line : 901 N MONROE ST STE 200
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2148
Country : US
Telephone Number : 509-759-1344
Fax Number :
Provider Business Practice Location Address
First Line : 901 N MONROE ST STE 200
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2148
Country : US
Telephone Number : 509-759-1344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ CRYSTAL MARIE OBRYANT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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