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Individual

BRYSON ROY MCHARDY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D,.

Contact information

Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3106
(573) 231-3723
Mailing address
100 MEDICAL DR, P.O. BOX 311, HANNIBAL, MO 63401-6877
(573) 231-3106
(573) 231-3723

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
2008007525
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01308626
CO
Enumeration date
07/19/2005
Last updated
01/02/2014
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