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Individual

DR. BRYAN DAVID RYNEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL, STE 6A/6B/12A, SAINT LOUIS, MO 63110-1032
(314) 747-2551
(314) 747-2598
Mailing address
660 S EUCLID AVE, CB 8233, SAINT LOUIS, MO 63110-1010
(314) 514-3500
(314) 514-3555

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2021021531
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200099728
MO
Enumeration date
06/18/2015
Last updated
11/15/2021
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