Organization
WEST MEMPHIS EYE CENTER, PA
Active
Organization
WEST MEMPHIS EYE CENTER, PA
Active
Other names
Glen Edward Bryant jr.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN EDWARD BRYANT II M.D. (OWNER)
(870) 732-2100
Entity
Organization
Contact information
Practice address
303 W POLK, SUITE A, WEST MEMPHIS, AR 72301
(870) 732-2100
(870) 732-3027
Mailing address
303 W POLK, SUITE A, WEST MEMPHIS, AR 72301
(870) 732-2100
(870) 732-3027
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102003001
—
AR
05
—
111786002
—
AR
Enumeration date
07/11/2006
Last updated
12/12/2013
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