Individual
BRYANT DAVIS UY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8737 BEVERLY BLVD STE 302, WEST HOLLYWOOD, CA 90048-1839
(310) 659-9959
Mailing address
10539 LE CONTE AVE, LOS ANGELES, CA 90024-3305
(310) 470-9670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22077
CA
Other
Enumeration date
05/11/2012
Last updated
04/25/2013
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