Organization
MICHAEL BRYAN, MD FACOG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CONRAD BRYAN MD (PHYSICIAN / OWNER)
(623) 256-4527
Entity
Organization
Contact information
Practice address
5310 W THUNDERBIRD RD STE 308, GLENDALE, AZ 85306-4710
(623) 412-2229
(602) 314-5843
Mailing address
5310 W THUNDERBIRD RD STE 308, GLENDALE, AZ 85306-4710
(623) 412-2229
(602) 314-5843
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37126
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411665
—
AZ
Enumeration date
07/09/2014
Last updated
07/09/2014
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