Individual
GEORGE T BRYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5666 EAST STATE STREET, ROCKFORD, IL 61108-2472
(815) 226-2000
(815) 227-2658
Mailing address
5666 EAST STATE STREET, ROCKFORD, IL 61108-2472
(815) 226-2000
(815) 227-2658
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36090851
—
IL
Enumeration date
06/27/2006
Last updated
02/14/2008
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