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NPI Code Detail

MEDICARE: JEFF BRYANT

MEDICARE: JEFF 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1457854531
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF BRYANT
Provider Business Mailing Address
First Line : 23701 MILES RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5473
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23701 MILES RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5473
Country : US
Telephone Number : 216-337-3487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2018
Last Update Date : 03/14/2018

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Directions to “ JEFF BRYANT ” Practice Location

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