Individual
BRYAN D LAING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
120 N 17TH ST, OLEAN, NY 14760-1925
(801) 836-0935
Mailing address
120 N 17TH ST, OLEAN, NY 14760-1925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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