Man Alive, LLC

NPI #1437530185 in Vancouver, Washington

Provider Information

NPI Number: 1437530185
Entity Type: Organization
Organization Name: Man Alive, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 17, 2015
Last Updated: Feb 1, 2016

Practice Location

Address: 9430 NE VANCOUVER MALL DR
City: Vancouver
State: Washington
ZIP Code: 98662-6172
Phone: (360) 253-6947

Authorized Official

Name: DEAN BARRUS
Title: OWNER
Phone: (360) 984-5806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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