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Individual

BRYCE CAMPBELL CHILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
2530 E SOUTHERN AVE, MESA, AZ 85204-5411
(480) 834-4188
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10634634-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
317451
AZ

Other

Enumeration date
10/07/2024
Last updated
01/29/2025
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