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Individual

DR. WESLEY NATHAN BRYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 447-8786
(502) 447-8623
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2017044554
MO
2085R0202X
Diagnostic Radiology Physician
Primary
53575
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300050686
IN
05
7100730580
KY
Enumeration date
05/26/2015
Last updated
01/04/2024
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