Individual
JOHN R BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5495 S RAINBOW BLVD, SUITE 201, LAS VEGAS, NV 89118-1871
(702) 982-3659
(702) 549-0377
Mailing address
PO BOX 98813, SUITE 201, LAS VEGAS, NV 89193-8813
(702) 982-3659
(702) 549-0377
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA692
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002402194
—
NV
05
—
100508145
—
NV
Enumeration date
11/25/2005
Last updated
10/27/2016
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