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Individual
DR. BRYANT A PRYOR
Active
Individual
DR. BRYANT A PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
01068546A
IN
208M00000X
Hospitalist Physician
Primary
P9110
TX
390200000X
Student in an Organized Health Care Education/Training Program
11014099A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000675337
ANTHEM PROVIDER NUMBER
IN
05
—
200993000
—
IN
05
—
335964801
—
TX
Enumeration date
05/30/2008
Last updated
12/03/2016
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