Individual
MR. BRYAN JAMES MULLOOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 WEST MARKHAM STREET, LITTLE ROCK, AR 72207
(708) 224-7323
Mailing address
6357 CATALINA AVENUE, OAK FOREST, IL 60452-1733
(708) 224-7323
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.126693
IL
207L00000X
Anesthesiology Physician
Primary
E-7613
AR
207L00000X
Anesthesiology Physician
TP118
KY
Other
Enumeration date
06/21/2007
Last updated
11/23/2015
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