Individual
DR. BRYAN LEE SOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5115
(909) 883-8611
(909) 881-5707
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A540251
—
CA
Enumeration date
05/10/2006
Last updated
11/29/2025
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