Individual
MR. MICHAEL SHANE BRYANT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
8200 E BELLEVIEW AVE, SUITE 426C, GREENWOOD VILLAGE, CO 80111-2803
(303) 221-5757
(303) 221-5759
Mailing address
8200 E BELLEVIEW AVE, SUITE 426C, GREENWOOD VILLAGE, CO 80111-2803
(303) 221-5757
(303) 221-5759
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6661
CO
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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