Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 7744 | NV |
N | 207RC0000X | Internist - Cardiovascular Disease | G83382 | CA |
NPI | 1033101639 |
---|---|
Provider Name | Dr. Richard H Bryan JR. |
First Address | Reno, NV 89503-4452 |
Second Address | Reno, NV 89503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 30/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2016561 | (05) | NV |
G09858 | (02) | NV |