Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 45303 | CO |
NPI | 1215071014 |
---|---|
Provider Name | Gloria L Bryant |
First Address | Denver, CO 80205-5437 |
Second Address | Denver, CO 80205-5437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 03/03/2008 |