Individual
JOAN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 443-7846
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29546
NE
208D00000X
General Practice Physician
29546
NE
Other
Enumeration date
03/24/2015
Last updated
07/25/2022
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