Individual
DR. MICHAEL JAMES BRYDONE-JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6595
Mailing address
2801 MAIN ST APT 430, IRVINE, CA 92614-5020
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A172034
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2014
Last updated
01/18/2022
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