Individual
RYAN DAVID BROMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 PATEWOOD DR STE A120, GREENVILLE, SC 29615-6305
(864) 454-2670
(864) 454-2679
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 552-2286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1505
SC
208000000X
Pediatrics Physician
20A13236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015058
—
SC
Enumeration date
06/20/2011
Last updated
06/21/2023
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