Dwiggins, Bryan Justin

Dwiggins, Bryan Justin is an individual health care provider with primary practice located at 645 E Missouri Ave Ste 300 , Phoenix AZ 85012-1351. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Dwiggins, Bryan Justin can be contacted via phone (602) 262-8900.

Contact Information

Primary practice address
645 E Missouri Ave Ste 300 Phoenix AZ 85012-1351
Phone: (602) 262-8900
Fax: (602) 262-8890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN9496691 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 254265 Arizona

Profile Details

NPI number 1780270926
LBN Legal business name Dwiggins, Bryan Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2020
Last updated Mar 11th, 2021 - about 3 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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