Individual
BRYAN GLENN CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3190 CHURN CREEK RD, REDDING, CA 96002-2122
(530) 223-2500
(530) 226-1375
Mailing address
3190 CHURN CREEK RD, REDDING, CA 96002-2122
(530) 223-2500
(530) 226-1375
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G69282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G692820
—
CA
Enumeration date
09/13/2005
Last updated
10/25/2012
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