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Individual

ROY GORDON BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 MOODY CT STE 200, THOUSAND OAKS, CA 91360-6082
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
68651
CT
2085N0700X
Neuroradiology Physician
A124590
CA
2085R0202X
Diagnostic Radiology Physician
Primary
251258
MA
2085R0202X
Diagnostic Radiology Physician
257014
MA
2085R0202X
Diagnostic Radiology Physician
45102
OK
2085R0202X
Diagnostic Radiology Physician
68651
CT
2085R0202X
Diagnostic Radiology Physician
A124590
CA

Other

Enumeration date
11/01/2011
Last updated
04/08/2025
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