# MICHAEL BRYAN, MD FACOG PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992111025
- **Authorized official:** DR. MICHAEL CONRAD BRYAN MD (PHYSICIAN / OWNER)
- **Authorized official phone:** (623) 256-4527

## Contact information

- **Practice address:** 5310 W THUNDERBIRD RD STE 308, GLENDALE, AZ 85306-4710
- **Practice address phone:** (623) 412-2229
- **Practice address fax:** (602) 314-5843
- **Mailing address:** 5310 W THUNDERBIRD RD STE 308, GLENDALE, AZ 85306-4710
- **Mailing address phone:** (623) 412-2229
- **Mailing address fax:** (602) 314-5843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 37126 | AZ | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 07/09/2014
