Individual
DONALD WILLIAM BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, STE 2600, OGDEN, UT 84403-3271
(801) 387-2600
(801) 387-2625
Mailing address
4403 HARRISON BLVD, STE 2600, OGDEN, UT 84403-3271
(801) 387-2600
(801) 387-2625
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
160506-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05558
—
UT
01
—
4360680001
CIGNA DMERC
UT
01
—
51866291200001
BCBS
—
01
—
659750
DESERET MUTUAL
—
Enumeration date
08/16/2005
Last updated
11/19/2007
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