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NPI Code Detail

MEDICARE: BRYANA VOSS BS

MEDICARE: BRYANA VOSS BS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1962229278
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYANA VOSS BS
Provider Business Mailing Address
First Line : 301 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3240
Country : US
Telephone Number : 618-252-9036
Fax Number :
Provider Business Practice Location Address
First Line : 301 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3240
Country : US
Telephone Number : 618-252-9036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2024
Last Update Date : 09/26/2024

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Directions to “ BRYANA VOSS BS” Practice Location

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