Individual provider · Type 1 NPI

Bryson Richard Ensign, DO

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1487356556 Active

Practice location

900 Main St Ste 720
Peoria, IL 61602-5027

Call (801) 891-3861 Map

Mailing address

537 W 1420 N Apt 102
Logan, UT 84341-7035

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487356556

Bryson Richard Ensign, DO's National Provider Identifier is 1487356556, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Mar 21, 2023.