Basic Information
Provider Information
NPI: 1285931394
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DONER
FirstName: BRYAN
MiddleName: ANTHONY
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1816 CONSTITUTION BLVD
Address2:  
City: VALENCIA
State: PA
PostalCode: 160593908
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1 NOLTE DR
Address2: ARMSTRONG COUNTY MEMORIAL HOSPITAL
City: KITTANNING
State: PA
PostalCode: 16201
CountryCode: US
TelephoneNumber: 7245438500
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/25/2011
LastUpdateDate: 05/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XOS015499PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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