Dursteler, Bryce L.
Dursteler, Bryce L. is an individual health care provider with primary practice located at 1255 W Washington St , Tempe AZ 85281-1210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Dursteler, Bryce L. can be contacted via phone (602) 685-5211.Contact Information
Primary practice address
1255 W Washington St
Tempe AZ 85281-1210
Phone: (602) 685-5211
Fax: (602) 685-5325
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 57175 | Arizona |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 57175 | Arizona |
Profile Details
NPI number | 1942410410 |
---|---|
LBN Legal business name | Dursteler, Bryce L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2007 |
Last updated | Aug 7th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942410410 | NPPES |
Arizona | Other | 57175 | ARIZONA MEDICAL LICENSE |
Arizona | MEDICAID | 346505 | ARIZONA MEDICAL LICENSE |
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