Provider Demographics
NPI:1851807713
Name:BRYAN T MCCONNELL, DO PLC
Entity Type:Organization
Organization Name:BRYAN T MCCONNELL, DO PLC
Other - Org Name:NATURE CURE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:520-399-9212
Mailing Address - Street 1:3280 S CAMINO DEL SOL STE 124
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85622-4648
Mailing Address - Country:US
Mailing Address - Phone:520-399-9212
Mailing Address - Fax:520-399-9213
Practice Address - Street 1:3280 S CAMINO DEL SOL STE 124
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85622-4648
Practice Address - Country:US
Practice Address - Phone:520-399-9212
Practice Address - Fax:520-399-9213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty