Individual
DANIEL SHANE BRILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2125 E MAIN ST STE 10, SILOAM SPRINGS, AR 72761-5576
(479) 524-8552
(479) 524-8593
Mailing address
2125 E MAIN ST STE 10, SILOAM SPRINGS, AR 72761-5576
(479) 524-8552
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA289AR
AR
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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