Michael J Bryan Md Pllc

LBN: Michael J Bryan Md Pllc
Michael J Bryan Md Pllc is an health care organization with primary practice located at 3251 N Windsong Dr , Prescott Valley AZ 86314-1222. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Michael J Bryan Md Pllc can be contacted via phone (928) 772-2582, or through Moyer, John C via phone (928) 778-1251.

Contact Information

Primary practice address
3251 N Windsong Dr Prescott Valley AZ 86314-1222
Phone: (928) 772-2582
Fax: (928) 772-2383
Website:
Map and Directions
Authorized official contact:
Name: Moyer, John C
Phone: (928) 778-1251

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1124058821
LBN Legal business name Michael J Bryan Md Pllc
DBA Doing business as
Authorized official Moyer, John C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 21st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124058821 NPPES
Arizona Other 7135706 AETNA
Arizona Other AZ0449300 AETNA
Arizona MEDICAID 134374 AETNA
Arizona Other 134374 AETNA
Arizona Other 134374 AETNA

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