Bryan, Russell Wayne

Bryan, Russell Wayne is an individual health care provider with primary practice located at 450 Turner St Branch Health Clinic, Naval Air Station, Pensacola FL 32508-5211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bryan, Russell Wayne can be contacted via phone (850) 452-5242.

Contact Information

Primary practice address
450 Turner St Branch Health Clinic, Naval Air Station Pensacola FL 32508-5211
Phone: (850) 452-5242
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110840787 Virginia

Profile Details

NPI number 1043290026
LBN Legal business name Bryan, Russell Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 17 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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