Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE JACKSON BRYAN, MD
ActiveDR. BRUCE JACKSON BRYAN, MD is a General Surgery healthcare provider located in PINETOP, Arizona. NPI 1700847050 is currently active in the NPPES registry. Verify at CMS.
General Surgery · PINETOP, AZ
Registration Details
- NPI Number
- 1700847050
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2006 (20.406558328536 yrs)
- Last Updated
- Aug 24, 2007
- License
-
20232 (AZ)
Practice Information
- Address
-
163 W WHITE MOUNTAIN HWYSUITE DPINETOP, AZ, 859352850Browse AZ providers · Browse ZIP 85935
- Phone
- 9283671200
- Fax
- 9283671205
- Primary Specialty
-
General Surgery
208600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.