Individual
DR. BRIAN SCOTT WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 301, LITTLE ROCK, AR 72205-5302
(501) 664-4161
Mailing address
500 S UNIVERSITY AVE, SUITE 301, LITTLE ROCK, AR 72205-5302
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E4744
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164070001
—
AR
01
—
P00423689
RAILROAD MEDICARE
AR
Enumeration date
08/29/2006
Last updated
03/07/2008
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