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Contact Information

GEORGE T BRYAN JR, MD
5666 EAST STATE STREET
ROCKFORD, IL61108-2472
 Phone: 815-226-2000
 Fax: 815-227-2658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for GEORGE T BRYAN JR · (Male)

NPI # 1447287495
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 02/14/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL Medicaid 36090851
Hospital affiliation(s)
  • SAINT ANTHONY MEDICAL CENTER - (Acute Care)
    5666 EAST STATE STREET
    ROCKFORD, IL 61108
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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