Individual
BRANDON DONALD BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 294-1187
Mailing address
135 CREEKS XING, RUSTON, LA 71270-1764
(318) 294-1187
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN107925 AP05353
LA
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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