Bryan Rosedale

NPI 1063623502 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1063623502
Gender Male
Enumeration Date 05/25/2007
Last Updated 05/30/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
821 ELLIOTT ST
DEPARTMENT OF FAMILY MEDICINE
ALEXANDRIA LA, 71301-7732, US
Phone (318) 441-1041
Fax
Business Location
821 ELLIOTT ST
DEPARTMENT OF FAMILY MEDICINE
ALEXANDRIA LA, 71301-7732, US
Phone (318) 441-1041
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Bryan Rosedale NPI is 1063623502, taxonomy code is 390200000X Bryan Rosedale physically located at 821 Elliott St, Alexandria LA, 71301-7732. NPI Number Bryan Rosedale has the Individual type.

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1063623502 NPI number is provided on an as is basis without warranty of any kind. 1063623502 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan Rosedale are for informational purposes only.