Individual
BRYAN A HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MONTEBELLO RD STE 116, PUEBLO, CO 81001-1366
(194) 231-5007
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 423-1341
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31220
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31220
COLO MEDICAL LIC
CO
Enumeration date
12/08/2008
Last updated
04/13/2022
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