Individual
MR. BRYCE ANDREW CIANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
2400 DOBBS DR, PHENIX CITY, AL 36870-2305
(334) 298-3626
Mailing address
5 OAKWOOD DR, PHENIX CITY, AL 36870-4773
(334) 707-3286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1129
AL
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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