Organization
BRIAN W BUELL EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BUELL O.P. (PRESIDENT)
(479) 521-7774
Entity
Organization
Contact information
Practice address
4083 N SHILOH DR, SUITE ONE, FAYETTEVILLE, AR 72703-5300
(479) 521-7774
(479) 521-4928
Mailing address
4083 N SHILOH DR, SUITE ONE, FAYETTEVILLE, AR 72703-5300
(479) 521-7774
(479) 521-4928
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PC-055
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106357722
—
AR
Enumeration date
02/17/2012
Last updated
02/20/2012
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