Doctor Name: | DAVID M BRYSON |
NPI Number: | 1043236011 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0361 |
Business Practice Address: | 1 Parkland Dr Derry, NH - 030382746 |
Business Phone Number: | 6034212220 |
Business Fax Number: | 6034212223 |
Mailing Address: | 1 Parkland Dr, DERRY |
State: | NH |
Postal Code: | 030382746 |
Phone Number: | 6034212220 |
Fax Number: | 6034212223 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 01/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |