Individual
BRYAN THOMAS NEWCOMB
Active
Individual
BRYAN THOMAS NEWCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
648254-01
NY
163W00000X
Registered Nurse
RN713702
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
648254-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2020
Last updated
06/22/2021
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