Individual
LANCE R BRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
984 MEDICAL DR, SUITE 2, BRIGHAM CITY, UT 84302-3604
(435) 723-0329
(435) 723-0429
Mailing address
984 MEDICAL DR, SUITE 2, BRIGHAM CITY, UT 84302-3604
(435) 723-0329
(435) 723-0429
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6979799-1205
UT
208600000X
Surgery Physician
76323
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639372840
—
UT
Enumeration date
06/06/2007
Last updated
01/25/2010
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