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Individual

THOMAS L BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 LINCOLN ST, STE 208, FORT MORGAN, CO 80701-3290
(970) 867-5350
(970) 867-3975
Mailing address
1000 LINCOLN ST, STE 208, FORT MORGAN, CO 80701-3290
(970) 867-5350
(970) 867-3975

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36569
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20062441080701
TRICARE
CO
05
25289039
CO
01
31113882101
PACIFICARE
CO
01
BR663559
BLUE CROSS
CO
01
P00126732
RAILROAD MEDICARE
CO
Enumeration date
04/08/2006
Last updated
11/11/2008
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