Individual
FRANK T BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 E 19TH ST, ROSWELL, NM 88201-5110
(575) 622-7600
(575) 622-3856
Mailing address
115 E 19TH ST, ROSWELL, NM 88201-5110
(575) 622-7600
(575) 622-3856
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
85147
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36442
—
NM
01
—
85147
NM LICENSE
NM
Enumeration date
05/03/2006
Last updated
12/21/2015
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