Individual
DR. BRYLEY JAE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1021 S WALDRON RD, FORT SMITH, AR 72903-2549
(417) 629-0505
Mailing address
1021 S WALDRON RD, FORT SMITH, AR 72903-2549
(479) 478-8860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2024020536
MO
152W00000X
Optometrist
Primary
2882
AR
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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