Individual provider · Type 1 NPI

Jess David Bryan, PA-C

Surgical Physician Assistant · Philadelphia, PA

NPI number 1679300446 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

303 Trimble Blvd
Brookhaven, PA 19015-2703

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1679300446

Jess David Bryan, PA-C's National Provider Identifier is 1679300446, issued on Sep 17, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 17, 2024.