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Individual
MARK P BRYER
Active
Individual
MARK P BRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
102993
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11440
GHP
—
01
—
19991
BCBS OF MO
—
05
—
206676603
—
MO
01
—
23324152
BCBS OF KC
—
01
—
2400004
UNITED HEALTHCARE
—
01
—
257403
HEALTHLINK
—
01
—
5132415
AETNA
—
01
—
65201A017
TRICARE
—
01
—
E71404
MERCY HEALTH PLANS
—
Enumeration date
10/03/2005
Last updated
01/31/2025
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