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Individual

DR. ADAM BRYANT HARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3010 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Mailing address
3010 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E6593
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182119001
AR
Enumeration date
05/16/2007
Last updated
10/14/2016
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