Individual
MR. RANCE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
3635 VISTA AVE, 3RD FLOOR DEPT OF TRAUMA SURGERY, SAINT LOUIS, MO 63110-2539
(314) 268-7777
(314) 268-5194
Mailing address
3635 VISTA AVE AT GRAND BLVD, 3RD FLOOR DEPT OF TRAUMA SURGERY, ST. LOUIS, MO 63110
(314) 268-7777
(314) 268-5194
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2014012216
MO
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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