Edwin D. Bryan O.D.

NPI 1073624540 - Optometrist - 152W00000X

NPI Details
NPI 1073624540
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
701 MCMEANS AVE
BAY MINETTE AL, 36507-3337, US
Phone (251) 937-1455
Fax (251) 937-1397
Business Location
12930 MARY ANN BEACH RD
FAIRHOPE AL, 36532-5423, US
Phone (251) 929-3191
Fax (251) 937-1397
Toxanomy
Taxonomy Code 152W00000X
License State Alabama
License Number S-490-TA-140
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According to our database, Dr. Edwin D. Bryan O.D. NPI is 1073624540, taxonomy code is 152W00000X and license number is S-490-TA-140, license state is located at Alabama. Edwin D. Bryan O.D. physically located at 701 Mcmeans Ave, Bay Minette AL, 36507-3337. NPI Number Edwin D. Bryan O.D. has the Individual type.

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1073624540 NPI number is provided on an as is basis without warranty of any kind. 1073624540 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin D. Bryan O.D. are for informational purposes only.