Individual
THOMAS L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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