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BRYAN MARCEL BILBAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
575 N RIVER ST, WILKES BARRE, PA 18702-2634
(570) 829-8111
Mailing address
187 N MAIN ST, OLD FORGE, PA 18518-1755
(570) 589-9375

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1202111
PA
363AM0700X
Medical Physician Assistant
Primary
MA064022
PA
390200000X
Student in an Organized Health Care Education/Training Program
PA

Other

Enumeration date
07/28/2022
Last updated
04/30/2026
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