Individual
DONALD K BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 W LANE AVE, SUITE D, COLUMBUS, OH 43221-3538
(614) 457-4827
(614) 457-4932
Mailing address
1315 W LANE AVE, SUITE D, COLUMBUS, OH 43221-3538
(614) 457-4827
(614) 457-4932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35030277
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376721
ANTHEM
OH
05
—
0177026
—
OH
01
—
201308320027
CARESOURCE
OH
01
—
4125132
MEDICARE PTAN
OH
Enumeration date
10/11/2006
Last updated
10/18/2011
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