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GLEN EDWARD BRYANT MD

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1699700864

Individual Registrant:
 GLEN EDWARD BRYANT MD
Gender: M
Sole Proprietor

Location and contact information for practice:
303 W POLK SUITE A WEST MEMPHIS, AR 72301 US
Tel: 870-732-2100  Fax: 870-732-3027

Contact information for business:
303 W POLK SUITE A WEST MEMPHIS, AR 72301 US
Tel: 870-732-2100  Fax: 870-732-3027

Registration Information:
NPI: 1699700864
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
ARC5746

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
102003001AR05




HEALTH CARE JOBS AR - Page 1

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