Individual
CLAY DEAN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2100
Mailing address
176 HIGHWAY 148, RUSTON, LA 71270-8436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
227362
LA
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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