Individual
DR. BRYAN STANLEY AUSTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
310 WELLINGTON RD, BRECKENRIDGE, CO 80424
(970) 547-4426
(970) 262-6379
Mailing address
PO BOX 708, BRECKENRIDGE, CO 80424
(970) 547-4426
(970) 262-6379
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2357
CO
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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