Individual
JULIE PETERMANN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D C
Contact information
Practice address
1424 W CENTURY AVE, 202, BISMARCK, ND 58503-0917
(701) 258-7376
Mailing address
1424 W CENTURY AVE, 202, BISMARCK, ND 58503-0917
(701) 258-7376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
502
ND
111N00000X
Chiropractor
604
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17417
—
ND
01
—
BRY12379
BLUE CROSS BLUE SHIELD ND
ND
01
—
U10355
WORKFORCE SAFETY & INS
ND
Enumeration date
11/15/2006
Last updated
08/29/2013
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