Individual
DR. BOBBY J BRYANT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373-5916
(909) 793-3311
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A89970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AQ475W
MEDICARE PTAN
CA
Enumeration date
02/04/2008
Last updated
03/19/2015
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