Bryner, Marcus Alan
Bryner, Marcus Alan is an individual health care provider with primary practice located at 500 Ramsey Ave , Grants Pass OR 97527-5554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bryner, Marcus Alan can be contacted via phone (541) 472-7140.Contact Information
Primary practice address
500 Ramsey Ave
Grants Pass OR 97527-5554
Phone: (541) 472-7140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A78883 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A78883 | California |
Profile Details
| NPI number | 1013944156 |
|---|---|
| LBN Legal business name | Bryner, Marcus Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Oct 4th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013944156 | NPPES |
| Oregon | MEDICAID | 213105 |
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