Individual
DR. RONALD WILLIAM BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9330 PARK WEST BLVD, SUITE #103, KNOXVILLE, TN 37923-4308
(865) 690-7820
Mailing address
9330 PARK WEST BLVD, SUITE #103, KNOXVILLE, TN 37923-4308
(865) 690-7820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000013662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3171572
—
TN
01
—
B03474
UPIN
TN
Enumeration date
04/08/2008
Last updated
04/08/2008
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