| John R Bryan, PA-C | |
|
Us Hwy 491 North, Shiprock, NM 87420 | |
| (505) 368-6401 | |
| (505) 368-6431 |
| Full Name | John R Bryan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | Us Hwy 491 North, Shiprock, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497814891 | NPI | - | NPPES |
| 26126818 | Medicaid | CO | |
| 74676512 | Medicaid | NM | |
| 918394 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10000308A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John R Bryan, PA-C Po Box 160, Shiprock, NM 87420 Ph: (505) 368-6401 | John R Bryan, PA-C Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6401 |
Erin Raley Wilson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: Hwy 491 North, Shiprock, NM 87420 Phone: 406-581-0654 | |
Robert L Hatch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Robert Cullen Crooks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87401 Phone: 505-368-6001 Fax: 505-368-7011 | |
David Nathan James, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Ushy 491 North, Shiprock, NM 87420 Phone: 505-368-6814 | |
Ms. Merilyn Tso, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Margo Ilima Santiago, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 |