Individual
MARK ANTHONY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19 MEDICAL LOOP, SUITE 3, WHITLEY CITY, KY 42653
(606) 376-5391
Mailing address
PO BOX 99, WHITLEY CITY, KY 42653-0099
(606) 376-5391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA958
KY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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