Individual
DR. BRIDGET DIANE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2100 W IOWA AVE, SUITE A, CHICKASHA, OK 73018-2736
(405) 224-2100
(405) 779-2365
Mailing address
2100 W IOWA AVE, SUITE A, CHICKASHA, OK 73018-2736
(405) 224-2100
(405) 779-2365
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5036
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200397150A
—
OK
Enumeration date
06/14/2010
Last updated
08/16/2016
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