Bryan, Michael Grant

Bryan, Michael Grant is an individual health care provider with primary practice located at 4488 S Pecos Rd , Las Vegas NV 89121-5030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bryan, Michael Grant can be contacted via phone (702) 436-1001.

Contact Information

Primary practice address
4488 S Pecos Rd Las Vegas NV 89121-5030
Phone: (702) 436-1001
Fax: (702) 436-7999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11335 Nevada

Profile Details

NPI number 1356443196
LBN Legal business name Bryan, Michael Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jan 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356443196 NPPES
Nevada Other P01115811 RR MEDICARE

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