Individual
DEAN BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 GASTORF POINTE CT, WILDWOOD, MO 63011-1764
(724) 355-1232
Mailing address
1921 GASTORF POINTE CT, WILDWOOD, MO 63011-1764
(724) 355-1232
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014016014
MO
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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