Individual
BRYAN VEYNOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Mailing address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
34005079
OH
207RP1001X
Pulmonary Disease Physician
34005079
OH
207RP1001X
Pulmonary Disease Physician
OS008928L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016937690004
—
PA
05
—
2164429
—
OH
Enumeration date
03/28/2006
Last updated
08/05/2011
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