Individual
MRS. ANNE B BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9007 ELLERBE RD, SHREVEPORT, LA 71106-6724
(318) 222-3278
(318) 424-3155
Mailing address
9007 ELLERBE RD, SHREVEPORT, LA 71106-6724
(318) 222-3278
(318) 424-3155
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G22563
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490504
—
LA
Enumeration date
11/22/2005
Last updated
03/16/2012
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