Organization
RONALD W. BRYAN M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD WILLIAM BRYAN M.D. (PRESIDENT)
(865) 690-7820
Entity
Organization
Contact information
Practice address
9330 PARK WEST BLVD, SUITE #103, KNOXVILLE, TN 37923-4309
(865) 690-7820
(865) 539-6262
Mailing address
9330 PARK WEST BLVD, KNOXVILLE, TN 37923-4309
(865) 690-7820
(865) 539-6262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000013662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3171572
—
TN
Enumeration date
05/16/2006
Last updated
04/03/2008
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