Bryant, Blake D

Bryant, Blake D is an individual health care provider with primary practice located at 325 S 6Th Pl , Lowell AR 72745-9704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bryant, Blake D can be contacted via phone (479) 770-0100.

Contact Information

Primary practice address
325 S 6Th Pl Lowell AR 72745-9704
Phone: (479) 770-0100
Fax: (479) 770-1184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-8102 Arkansas

Profile Details

NPI number 1164740452
LBN Legal business name Bryant, Blake D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2010
Last updated Dec 10th, 2013 - about 13 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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