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NPI Code Detail

MEDICARE: DR. ROBERT D BRYANT

MEDICARE: DR. ROBERT D BRYANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist32959NY

General Provider Information

NPI Number : 1043359011
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT D BRYANT
Provider Business Mailing Address
First Line : 1580 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-3620
Country : US
Telephone Number : 585-244-5810
Fax Number :
Provider Business Practice Location Address
First Line : 1580 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-3620
Country : US
Telephone Number : 585-244-5810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT D BRYANT ” Practice Location

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