Individual
DR. GAYLON LYN BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N UNIVERSITY AVE, SUITE 100-A, LITTLE ROCK, AR 72205-2900
(501) 663-3990
(501) 663-3669
Mailing address
501 N UNIVERSITY AVE, SUITE 100-A, LITTLE ROCK, AR 72205-2900
(501) 663-3990
(501) 663-3669
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C5982
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256000000
QUALCHOICE
AR
01
—
50722
BLUE CROSS AND BLUE SHIEL
AR
01
—
7420010
UNITED HEALTH CARE
AR
Enumeration date
01/12/2006
Last updated
07/08/2007
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