Individual
THOMAS BENEDICT BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3351 M STREET, STE 120, MERCED, CA 95348
(209) 383-5999
(209) 383-6888
Mailing address
3351 M ST, STE 120, MERCED, CA 95348
(209) 383-5999
(209) 383-6888
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
A300690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A300690
—
CA
Enumeration date
08/14/2006
Last updated
02/25/2014
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