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Individual

MR. BRYAN THOMAS KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(303) 493-7000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
APN-0992368-NP
CO
363LP0222X
Critical Care Pediatric Nurse Practitioner
SP012535
PA

Other

Enumeration date
03/08/2013
Last updated
03/17/2018
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