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NPI Code Detail

MEDICARE: CHRISTOPHER BRYANT

MEDICARE: CHRISTOPHER 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
1175T00000XPeer SpecialistAPS.007033OH

General Provider Information

NPI Number : 1710756689
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER BRYANT
Provider Business Mailing Address
First Line : 380 STANTON AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-3759
Country : US
Telephone Number : 937-794-5479
Fax Number :
Provider Business Practice Location Address
First Line : 215 S ALLISON AVE
Second Line :
City : XENIA
State : OH
Zip : 45385-3694
Country : US
Telephone Number : 937-352-6490
Fax Number : 937-888-4008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2023
Last Update Date : 01/07/2026

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Directions to “ CHRISTOPHER BRYANT ” Practice Location

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