Individual
CHRISTOPHER M BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7820 OLD HIGHWAY TWO LOOP, MOYIE SPRINGS, ID 83845-5187
(208) 304-6401
(208) 684-7115
Mailing address
7820 OLD HIGHWAY TWO LOOP, MOYIE SPRINGS, ID 83845-5187
(208) 304-6401
(208) 684-7115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O-1476
ID
208000000X
Pediatrics Physician
O-1476
ID
Other
Enumeration date
07/18/2016
Last updated
01/11/2023
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