Brunson, Gaylon Lyn

Brunson, Gaylon Lyn is an individual health care provider with primary practice located at 501 N University Ave Suite 100-A, Little Rock AR 72205-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Brunson, Gaylon Lyn can be contacted via phone (501) 663-3990.

Contact Information

Primary practice address
501 N University Ave Suite 100-A Little Rock AR 72205-2900
Phone: (501) 663-3990
Fax: (501) 663-3669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C5982 Arkansas

Profile Details

NPI number 1154300648
LBN Legal business name Brunson, Gaylon Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154300648 NPPES
Arkansas Other 50722 BLUE CROSS AND BLUE SHIEL
Arkansas Other 50722 BLUE CROSS AND BLUE SHIEL
Arkansas Other 7420010 BLUE CROSS AND BLUE SHIEL
Arkansas Other 1256000000 BLUE CROSS AND BLUE SHIEL

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