1831133743

Everything you always wanted to know about BRYAN TIM MD but were afraid to ask.

BRYAN TIM MD

You can also download the this 1831133743 data report as csv | excel | json | xml
Provider Last Name Provider First Name Provider Credential
BRYAN TIM MD
Gender:
Male
Enumeration date:
2006-06-15
Last update date:
2011-12-07
Current as of:
2007-08-28
Is sole proprietor?:
Yes
Is organization subpart?:
Not Answered
In PECOS?:
Yes
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Identifiers

identifier description issuer state active
I17021 Medicare UPIN none AZ 1

Taxonomies

Taxonomy State License Number Primary?
207Q00000X Family Medicine AZ 35487

Phone Numbers

Type Number
Mailing Address Telephone Number 4808409155
Practice Location Address Telephone Number 4808409155
Mailing Address Fax Number 4808409320
Practice Location Address Fax Number 4808409320

Addresses

Type Address City State Postal Country
Mailing Address 4365 E PECOS RD SUITE 134 GILBERT AZ 85295 AZ
Practice Location Address 4365 E PECOS RD BLDG 14, SUITE 134 GILBERT AZ 85295 AZ

Other NPI Records that share a phone number

NPI Name Address State City
1124224126 GATEWAY FAMILY MEDICINE
Organization
4365 E PECOS RD AZ GILBERT
1437433950 MCKELVY, ANDREA
Individual
4365 E PECOS RD STE 134 AZ GILBERT
1639487762 LESPERANCE, JESSICA
Individual
4365 E PECOS RD AZ GILBERT
1659621308 WURTZ, ERIC
Individual
4365 E PECOS RD AZ GILBERT
1881982940 JIRON, SARA
Individual
4365 E PECOS RD AZ GILBERT

Other NPI Records that share an address

NPI Name Address State City
1124224126 GATEWAY FAMILY MEDICINE
Organization
4365 E PECOS RD AZ GILBERT
1124241641 MANNING, GREGORY
Individual
4365 E PECOS RD AZ GILBERT
1427070473 HATZENBELER, SCOTT
Individual
4365 E PECOS RD AZ GILBERT
1548577695 HUGHES, LU ANN
Individual
4365 E PECOS RD AZ GILBERT
1639487762 LESPERANCE, JESSICA
Individual
4365 E PECOS RD AZ GILBERT
1659621308 WURTZ, ERIC
Individual
4365 E PECOS RD AZ GILBERT
1689696635 HATZENBELER, CHRISSY
Individual
4365 E PECOS RD AZ GILBERT
1881982940 JIRON, SARA
Individual
4365 E PECOS RD AZ GILBERT