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 Date2018-07-11
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 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-5540
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