Individual
DR. IAN LUKE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 OLD FISH HATCHERY RD, EDENTON, NC 27932-1640
(252) 484-9024
(252) 404-8424
Mailing address
222B VIRGINIA RD, EDENTON, NC 27932-9667
(252) 484-9024
(252) 404-8424
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019-01984
NC
Other
Enumeration date
05/12/2016
Last updated
11/11/2024
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