Individual
DR. LADONNA J BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 W WALNUT ST, PASSAVANT SURGICAL ASSOCIATES, JACKSONVILLE, IL 62650-1136
(217) 479-5821
(217) 243-7406
Mailing address
1600 W WALNUT ST, PASSAVANT SURGICAL ASSOCIATES, JACKSONVILLE, IL 62650-1136
(217) 479-5821
(217) 243-7406
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111023 1
—
IL
05
—
036111023 2
—
IL
Enumeration date
08/29/2006
Last updated
03/07/2023
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