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Individual
BRYAN HOLLAN CLARDY
Active
Individual
BRYAN HOLLAN CLARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2745
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02090005200
QUALCHOICE
—
05
—
02450298
—
MS
01
—
080184879
RAILROAD MEDICARE
—
05
—
100143000A
—
OK
05
—
146720001
—
AR
05
—
1637041
—
LA
01
—
2220866
UNITED HEALTHCARE
AR
01
—
2674666001
CIGNA
—
01
—
5M245
BLUE CROSS/BLUE SHIELD
AR
01
—
7848374
AETNA
—
Enumeration date
06/09/2005
Last updated
03/07/2023
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