Individual
DR. DUANE M BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
342 F ST, CHULA VISTA, CA 91910-2625
(619) 422-1471
(619) 422-0114
Mailing address
342 F ST, CHULA VISTA, CA 91910-2625
(619) 422-1471
(619) 422-0114
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0025268
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C155562
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
09/22/2006
Last updated
11/30/2018
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