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Individual

DR. GREGORY K. BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
112 S JONES BLVD, LAS VEGAS, NV 89107-2614
(702) 838-7110
(702) 838-7112
Mailing address
112 S JONES BLVD, LAS VEGAS, NV 89107-2614
(702) 838-7110
(702) 838-7112

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7997
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110166758
RAILROAD NV #
NV
Enumeration date
07/28/2005
Last updated
09/30/2010
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