BRYAN J PRUDHOMME

JOHNSON CITY, TN
NPI1528270816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TN  42204)
Enumeration Date2007-05-07
Last Update Date2025-02-21
Business Address
BRYAN J PRUDHOMME MD
301 MED TECH PKWY STE. 180
JOHNSON CITY, TN 37604
Phone number: 423-794-5540
Mailing Address
BRYAN J PRUDHOMME MD
PO BOX 632476
CINCINNATI, OH 45263-2476
Phone number: 423-794-5540