Individual
BRYAN JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1165
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
274151
MA
207P00000X
Emergency Medicine Physician
302832
NY
207P00000X
Emergency Medicine Physician
59682
AZ
207P00000X
Emergency Medicine Physician
CDR0001287
CO
207P00000X
Emergency Medicine Physician
Primary
CDRH.0001287
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2014
Last updated
04/22/2026
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