Individual
BRYAN K LANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-8000
(870) 934-3637
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3637
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N-8388
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129548001
—
AR
Enumeration date
04/21/2006
Last updated
02/10/2016
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