Individual
BRYAN JOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, DMSC
Contact information
Practice address
301 ANDREWS AVE., FORT NOVOSEL, AL 36362
(334) 255-7449
Mailing address
301 ANDREWS AVE, FORT NOVOSEL, AL 36362
(334) 255-7449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149096
NCCPA ID
—
Enumeration date
01/26/2018
Last updated
10/07/2024
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