Individual
TIMOTHY BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 S 2450 E APT 4, ST GEORGE, UT 84790-2543
(801) 970-2400
Mailing address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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