Individual
DR. JOHN F BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOUSE AVE STE 502, CHEYENNE, WY 82001-3179
(307) 635-4131
(307) 635-4134
Mailing address
2301 HOUSE AVE STE 502, CHEYENNE, WY 82001-3179
(307) 635-4131
(307) 635-4134
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
6656A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117112700
—
WY
01
—
311378
BLUE CROSS BLUE SHIELD OF WYOMING
WY
01
—
340020255
RAILROAD MEDICARE
WY
Enumeration date
11/02/2006
Last updated
05/29/2008
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