Organization
THOMAS L BRYANT MD PC
Active
Other names
Thomas L Bryant MD
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L BRYANT MD (PHYSICIAN)
(970) 867-5350
Entity
Organization
Contact information
Practice address
1000 LINCOLN ST, STE 208, FORT MORGAN, CO 80701-3290
(970) 867-5350
(970) 867-3975
Mailing address
1000 LINCOLN ST, STE 208, FORT MORGAN, CO 80701-3290
(970) 867-5350
(970) 867-3975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36569
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34384723
—
CO
01
—
DB7675
RAILROAD MEDICARE
—
Enumeration date
06/02/2006
Last updated
05/22/2008
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