# TIMOTHY C. BRYAN, MD, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gateway Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124224126
- **Authorized official:** TIMOTHY C BRYAN MD (OWNER MANAGER)
- **Authorized official phone:** (480) 840-9155

## Contact information

- **Practice address:** 4365 E PECOS RD, SUITE 134, GILBERT, AZ 85295-8053
- **Practice address phone:** (480) 840-9155
- **Practice address fax:** (480) 840-9320
- **Mailing address:** 4365 E PECOS RD, SUITE 134, GILBERT, AZ 85295-8053
- **Mailing address phone:** (480) 840-9155
- **Mailing address fax:** (480) 840-9320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35487 | AZ | Yes |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 12/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104591 | — | AZ |