Individual
BRYAN ANTHONY SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
4358 BROAD STREET ROAD, GUM SPRING, VA 23065
(540) 223-3922
Mailing address
4358 BROAD STREET ROAD, GUM SPRING, VA 23065
(540) 223-3922
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000162
VA
246ZS0410X
Surgical Technologist
0137001523
VA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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