Bryan, Roy Gordon
Bryan, Roy Gordon is an individual health care provider with primary practice located at 100 Moody Ct Ste 200 , Thousand Oaks CA 91360-6082. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bryan, Roy Gordon can be contacted via phone (310) 301-6800.Contact Information
Primary practice address
100 Moody Ct Ste 200
Thousand Oaks CA 91360-6082
Phone: (310) 301-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 68651 | Connecticut |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | A124590 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 257014 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 68651 | Connecticut |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A124590 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 251258 | Massachusetts |
Profile Details
| NPI number | 1396021648 |
|---|---|
| LBN Legal business name | Bryan, Roy Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2011 |
| Last updated | Oct 30th, 2023 - about last year |
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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