Wandling, Bryson Lee
Wandling, Bryson Lee is an individual health care provider with primary practice located at 815 E. Cesar Chavez Blvd. , San Luis AZ 85349. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wandling, Bryson Lee can be contacted via phone (928) 627-3822.Contact Information
Primary practice address
815 E. Cesar Chavez Blvd.
San Luis AZ 85349
Phone: (928) 627-3822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7850 | Arizona |
Profile Details
| NPI number | 1598391351 |
|---|---|
| LBN Legal business name | Wandling, Bryson Lee |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2020 |
| Last updated | Mar 12th, 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.
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