JOHN R BRYAN

SHIPROCK, NM
NPI1497814891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000308A)
Enumeration Date2006-12-08
Last Update Date2008-01-03
Business Address
-- JOHN R BRYAN PA-C
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
Mailing Address
-- JOHN R BRYAN PA-C
PO BOX 160
SHIPROCK, NM 87420
Phone number: 505-368-6401
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