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Bryson Richard Ensign, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1487356556

Bryson Richard Ensign is a Student in an Organized Health Care Education/Training Program based in Logan, IL. Bryson Richard Ensign practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Bryson Richard Ensign is 1487356556 and holds a License No. (Illinois).

The current practice location address for Bryson Richard Ensign is 900 Main St Ste 720, Peoria, IL and can be reached out via phone at 801-891-3861.

Location: 900 Main St Ste 720, Peoria, IL, 84341-7035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487356556
Provider Name
Bryson Richard Ensign
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
900 Main St Ste 720, Peoria, IL, 84341-7035
Phone Number
801-891-3861
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Main St Ste 720
City
Peoria
State
Illinois
Zip
61602-5027
Phone Number
801-891-3861
Fax Number
person
Provider Business Mailing Address Details
Address
900 Main St Ste 720
City
Peoria
State
Illinois
Zip
61602-5027
Phone Number
801-891-3861
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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