Individual
DR. BRIAN S NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 FULTON ST, BLYTHEVILLE, AR 72315-1922
(870) 763-0855
(870) 763-0858
Mailing address
609 FULTON ST, BLYTHEVILLE, AR 72315-1922
(870) 763-0855
(870) 763-0858
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2009034738
MO
208800000X
Urology Physician
Primary
E-7820
AR
Other
Enumeration date
12/23/2009
Last updated
10/31/2013
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