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Individual
DR. ROOSEVELT BRYANT III
Active
Individual
DR. ROOSEVELT BRYANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01094181A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.121454
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
47912
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
58889
AZ
Other
Enumeration date
04/14/2009
Last updated
01/16/2025
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