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Organization

BRYANT A. BLOSS M.D. ORTHOPAEDICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRYANT ALLEN BLOSS M.D. (PRESIDENT)
(812) 479-8571
Entity
Organization

Contact information

Practice address
4770 COVERT AVE, STE 104, EVANSVILLE, IN 47714-5617
(812) 479-8571
(812) 474-6237
Mailing address
4770 COVERT AVE, STE 104, EVANSVILLE, IN 47714-5617
(812) 479-8571
(812) 474-6237

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01020011
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90006396
KY
Enumeration date
04/10/2008
Last updated
04/29/2008
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