Individual
EARL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3091
(215) 456-6679
(215) 456-8502
Mailing address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS010975L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001963229
—
PA
Enumeration date
03/27/2006
Last updated
03/09/2011
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