Individual
BRYAN LEE BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814
(541) 524-8000
(541) 524-7955
Mailing address
3340 E GOLDSTONE DR., MERIDIAN, ID 83642
(541) 524-8000
(541) 524-7955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA00659
OR
363A00000X
Physician Assistant
Primary
PA00659
OR
Other
Enumeration date
09/30/2006
Last updated
12/02/2019
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