Individual
BRYCE A HILMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1255 W RIO SALADO PKWY STE 107, TEMPE, AZ 85281
(480) 962-0071
(480) 962-0590
Mailing address
1255 W RIO SALADO PKWY STE 107, TEMPE, AZ 85281-2892
(480) 962-0071
(480) 962-0590
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
7884895-1206
UT
363AM0700X
Medical Physician Assistant
Primary
MA056076
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091993
—
AZ
Enumeration date
01/24/2011
Last updated
07/23/2019
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