Individual
DR. JOHN ALLEN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
14991 E HAMPDEN AVE, SUITE 110, AURORA, CO 80014-3983
(303) 963-9561
(303) 963-0713
Mailing address
1130 LAKE PLAZA DR, SUITE 230, COLORADO SPRINGS, CO 80906-3594
(719) 219-3819
(719) 219-0411
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
960
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08009607
—
CO
Enumeration date
10/24/2005
Last updated
12/02/2015
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