Individual provider · Type 1 NPI

Tawanna J. Bryant

Surgical Physician Assistant · Colton, CA

NPI number 1508035270 Active

Practice location

400 N Pepper Ave, Dept.general Surgery Mod 3
Colton, CA 92324-1801

Fax (909) 580-1363

Mailing address

PO Box 670
Redlands, CA 92373-0221

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA19573 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1508035270

Tawanna J. Bryant's National Provider Identifier is 1508035270, issued on Feb 26, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Colton, CA. The record was last updated on Nov 29, 2021.