DR. Bruce Jackson Bryan, MD

NPI #1700847050 in Pinetop, Arizona

Provider Information

NPI Number
1700847050
Entity Type
Individual
Name
DR. Bruce Jackson Bryan, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Credential
MD
Enumeration Date
Mar 28, 2006
Last Updated
Aug 24, 2007

Practice Location

Address
163 W WHITE MOUNTAIN HWY
Address 2
SUITE D
State
Arizona
ZIP Code
85935-2850
Phone
(928) 367-1200

Specialties & Taxonomy Codes

Specialty
Surgery

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