NPI 1497814891

John R Bryan, PAC

Practitioner Physician Assistant Shiprock, NM

Practice location

Address: US Hwy 491 North, Shiprock, NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Mailing address: PO Box 160, Shiprock, NM 87420

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10000308A (IN)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1497814891
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2006
Record last updated: 3 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.