Bryson Lee Wandling, PA-C

NPI #1598391351 in San Luis, Arizona

Provider Information

NPI Number: 1598391351
Entity Type: Individual
Name: Bryson Lee Wandling, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 12, 2020
Last Updated: Mar 12, 2020

Practice Location

Address: 815 E. CESAR CHAVEZ BLVD.
City: San Luis
State: Arizona
ZIP Code: 85349
Phone: (928) 627-3822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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