Individual
MINDY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11890 W 64TH AVE, ARVADA, CO 80004-4324
(303) 423-6091
Mailing address
11890 W 64TH AVE, ARVADA, CO 80004-4324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0005180
CO
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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