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Individual
BRYAN MATTHEW ALFORD
Active
Individual
BRYAN MATTHEW ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2135
SC
363AS0400X
Surgical Physician Assistant
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1934PA
—
SC
01
—
SC41587628
MEDICARE PIN
SC
Enumeration date
04/09/2014
Last updated
04/28/2022
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