Individual
MR. GEORGE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 747-1171
(314) 747-8254
Mailing address
660 S EUCLID AVE, C B 8056, SAINT LOUIS, MO 63110-1010
(314) 747-1171
(314) 747-8254
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2005019124
MO
Other
Enumeration date
07/17/2006
Last updated
07/16/2009
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