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Brent Sissom, CRT
NPI 1730331240 · on the registry since 2008
Practice
- Address
- 1519 3rd St Se
Suite 103
Puyallup, WA 98372 - Phone
- (253) 841-8939
- Organisation at this address
- Axis Spine Llc
Partner Oncology Inc
Coast Imaging South Pllc
Apple Physical Therapy Ps
Urologic Consultants, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 247100000X
247100000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington