Individual
MS. DEBORAH G BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 TAKOTNA AVE, MCGRATH, AK 99627-9800
(907) 729-8624
Mailing address
4201 TUDOR CENTRE DR, SUITE #320, ANCHORAGE, AK 99508-5904
(907) 729-8624
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
781
AK
363AM0700X
Medical Physician Assistant
PA 10003659
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0314
—
AK
Enumeration date
04/05/2006
Last updated
12/06/2012
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