Individual
JESS DAVID BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
303 TRIMBLE BLVD, BROOKHAVEN, PA 19015-2703
(707) 570-9290
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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