Individual
BRYAN ANTHONY SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
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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