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Individual

DR. BRYANT MCIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3280
Mailing address
7010 SOUTHMOOR ST STE 1407, HANOVER, MD 21076-2132

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101266925
VA
208600000X
Surgery Physician
Primary
01077797A
IN
208600000X
Surgery Physician
MD21742
ME
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720252661
ME
Enumeration date
04/22/2008
Last updated
11/29/2022
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