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NPI Code Detail

MEDICARE: BRYAN DO

MEDICARE:   BRYAN  DO
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
1367500000XCertified Registered Nurse Anesthetist124580CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1822576OTHERCACA BOARD OF REGISTERED NURSING

General Provider Information

NPI Number : 1437622800
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN DO
Provider Business Mailing Address
First Line : 3200 WINDSOR PL
Second Line :
City : CONCORD
State : CA
Zip : 94518-1417
Country : US
Telephone Number : 408-655-0284
Fax Number :
Provider Business Practice Location Address
First Line : 1036 OAK GROVE RD APT 22
Second Line :
City : CONCORD
State : CA
Zip : 94518-3233
Country : US
Telephone Number : 408-655-0284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 02/11/2022

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Directions to “ BRYAN DO ” Practice Location

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