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Organization
ORTHOPAEDIC MEDICAL GROUP
Active
Organization
ORTHOPAEDIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O BRYAN M.D. (PRESIDENT)
(626) 918-6655
Entity
Organization
Contact information
Practice address
412 W CARROLL ST, STE 107, GLENDORA, CA 91741
(626) 914-4890
Mailing address
PO BOX 490, SAN DIMAS, CA 91773
(626) 918-6655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
03/06/2014
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