Doctor Name: | MR. DANIEL WILLIAM BRYAN |
NPI Number: | 1962640391 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N/A |
License Number: | AR100992245 |
Business Practice Address: | 2038 N Ventura Ave Ventura, CA - 930011309 |
Business Phone Number: | 8056471777 |
Business Fax Number: | 8056536776 |
Mailing Address: | 2038 N Ventura Ave, VENTURA |
State: | CA |
Postal Code: | 930011309 |
Phone Number: | 8056471777 |
Fax Number: | 8056536776 |
NPI Enumeration Date: | 01/22/2009 |
NPI Last Update Date: | 01/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | AR100992245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |