Individual
DR. DAPHNE L BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 230-7777
(804) 230-7798
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101047098
VA
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
0101047098
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5613469
—
VA
01
—
C09633
GROUP PTAN
—
Enumeration date
10/27/2006
Last updated
07/18/2024
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