Individual
TAWANNA J BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, DEPT.GENERAL SURGERY MOD 3, COLTON, CA 92324-1801
(909) 580-6210
(909) 580-1363
Mailing address
PO BOX 670, REDLANDS, CA 92373-0221
(909) 580-6210
(909) 580-1363
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079700
—
CA
Enumeration date
02/26/2008
Last updated
11/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us