Individual
RONALD BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4275 BURNHAM AVE, SUITE 220, LAS VEGAS, NV 89119-5488
(702) 369-0088
(702) 893-4913
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA640
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NV
Enumeration date
01/25/2006
Last updated
06/07/2013
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