Individual
BRYAN PHILIP SEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1415 TULANE AVE, TW-4, NEW ORLEANS, LA 70112-2600
(504) 988-3290
(504) 988-6216
Mailing address
1415 TULANE AVE, TW-4, NEW ORLEANS, LA 70112-2600
(504) 988-3290
(504) 988-6216
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA200083
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029475
—
LA
Enumeration date
07/12/2007
Last updated
03/22/2010
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