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Individual

BRYAN MAROT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7000
Mailing address
5830 SPRING RD, PATRICK SPRINGS, VA 24133-3549

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1138808

Other

Enumeration date
12/08/2016
Last updated
12/08/2016
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