Doctor Name: | DR. DAVID CARLISLE BRYAN |
NPI Number: | 1336138791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G17464 |
Business Practice Address: | 50 Alessandro Pl Suites A30 & A40 Pasadena, CA - 911053149 |
Business Phone Number: | 6267936141 |
Business Fax Number: | 6267960172 |
Mailing Address: | 223 N 1st Ave, Suite #201 ARCADIA |
State: | CA |
Postal Code: | 910067089 |
Phone Number: | 6268211444 |
Fax Number: | 6268210406 |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | G17464 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |