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Individual

JAN K BRYDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
311 W 24TH ST STE 305, ERIE, PA 16502-2666
(814) 454-4484
Mailing address
311 W 24TH ST STE 305, ERIE, PA 16502-2666
(814) 454-4484

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD029742E
PA

Other

Enumeration date
12/04/2006
Last updated
09/30/2020
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