RUSSELL WAYNE BRYAN

PENSACOLA, FL
NPI1043290026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110840787)
Enumeration Date2006-01-18
Last Update Date2007-07-08
Business Address
-- RUSSELL WAYNE BRYAN pa-c
450 TURNER ST BRANCH HEALTH CLINIC, NAVAL AIR STATION
PENSACOLA, FL 32508-5211
Phone number: 850-452-5242
Mailing Address
-- RUSSELL WAYNE BRYAN pa-c
5800 W FAIRFIELD DR
PENSACOLA, FL 32506-3440
Phone number: 850-455-4201
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