Bryant Medical Pllc

NPI 1023268026 - Family Medicine - 207Q00000X

NPI Details
NPI 1023268026
Enumeration Date 09/25/2008
Last Updated 09/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name EVERETT V EVERETT
Position OWNER
Phone (866) 379-2235
Fax (702) 946-6670
Practice Location
2721 E RUSSELL RD
LAS VEGAS NV, 89120-2490, US
Phone (866) 379-2235
Fax (702) 946-6670
Business Location
4241 MAPLE ST STE 200D
DEARBORN MI, 48126-3826, US
Phone (866) 379-2235
Fax (702) 946-6670
Toxanomy
Taxonomy Code 207Q00000X
License State Nevada
License Number 12777
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According to our database, Bryant Medical Pllc NPI is 1023268026, taxonomy code is 207Q00000X and license number is 12777, license state is located at Nevada. Bryant Medical Pllc physically located at 2721 E Russell Rd, Las Vegas NV, 89120-2490. NPI Number 1033115704 has the healthcare provider type.

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1023268026 NPI number is provided on an as is basis without warranty of any kind. 1023268026 is maintained by the National Plan & Provider Enumeration System. The contents of Bryant Medical Pllc are for informational purposes only.