Organization
TIMOTHY C. BRYAN, MD, PLC
Active
Other names
Gateway Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C BRYAN MD (OWNER MANAGER)
(480) 840-9155
Entity
Organization
Contact information
Practice address
4365 E PECOS RD, SUITE 134, GILBERT, AZ 85295-8053
(480) 840-9155
(480) 840-9320
Mailing address
4365 E PECOS RD, SUITE 134, GILBERT, AZ 85295-8053
(480) 840-9155
(480) 840-9320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35487
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104591
—
AZ
Enumeration date
06/26/2007
Last updated
12/22/2011
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