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Individual

DR. BENJAMIN CHANDLER BRYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
56 TOWER CIR, SOMERSET, KY 42503-3476
(606) 677-2193
(606) 677-6983
Mailing address
56 TOWER CIR, SOMERSET, KY 42503-3476
(606) 677-2193
(606) 677-6983

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43526
KY
207RG0100X
Gastroenterology Physician
Primary
43526
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0696901
KY
01
193400000X
TAXONOMY MULTIPLE SINGLE SPECIALTY GROUP
KY
05
65933517
KY
05
7100140800
KY
Enumeration date
07/08/2008
Last updated
02/14/2014
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