Individual
DR. BLAKE D BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 S 6TH PL, LOWELL, AR 72745-9704
(479) 770-0100
(479) 770-1184
Mailing address
325 S 6TH PL, LOWELL, AR 72745-9704
(479) 770-0100
(479) 770-1184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-8102
AR
Other
Enumeration date
05/11/2010
Last updated
12/10/2013
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