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Individual

DR. BRYAN LEE JARVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 JOHN ROEMMELT DR, 102, HORSEHEADS, NY 14845-8301
(607) 795-1666
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
282240
NY
208D00000X
General Practice Physician
OT014339
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04403343
NY
Enumeration date
06/15/2011
Last updated
10/13/2016
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