Individual
MR. JAMES LEE BRYANT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
527 MEDICAL PARK DRIVE, SUITE 501, BRIDGEPORT, WV 26330
(681) 342-3571
(681) 342-3575
Mailing address
527 MEDICAL PARK DRIVE, SUITE 501, BRIDGEPORT, WV 26330
(681) 342-3571
(681) 342-3575
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
08691
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101431000
—
WV
Enumeration date
09/28/2006
Last updated
12/06/2010
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