Individual
BRYANT ADAM AXTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
340 MAGNOLIA CIR, PANAMA CITY, FL 32403-5604
(850) 283-7591
Mailing address
2648 AVONDALE CT, PANAMA CITY, FL 32404-3090
(850) 319-4280
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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