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Individual
MATTHEW THOMAS BRYAN
Active
Individual
MATTHEW THOMAS BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9337452-1205
UT
207R00000X
Internal Medicine Physician
125:061197
IL
207R00000X
Internal Medicine Physician
9337452-1205
UT
Other
Enumeration date
06/05/2012
Last updated
03/11/2025
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