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Individual

HUGH MCLELLAN BRYAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7584 HOSPITAL DR, BUILDING C, SUITE 202, GLOUCESTER, VA 23061-4178
(804) 693-4645
(804) 693-5985
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101042323
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184692733
VA
Enumeration date
03/09/2006
Last updated
09/30/2013
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