Individual
DR. TIMOTHY GORDON BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 N ROSE AVE, STE 430, OXNARD, CA 93030-7657
(805) 485-8722
(805) 485-9311
Mailing address
1700 N ROSE AVE, STE 430, OXNARD, CA 93030-7657
(805) 485-8722
(805) 485-9311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G53185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G531850
—
CA
Enumeration date
05/23/2005
Last updated
03/22/2012
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