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Individual

JOSEPH E BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 MEDICAL PARK, DOVER, OH 44622
(330) 343-6100
(330) 343-6133
Mailing address
PO BOX 249, DOVER, OH 44622-0249
(330) 343-6100
(330) 343-6133

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35074821B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2079343
OH
Enumeration date
09/13/2006
Last updated
04/24/2013
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