Individual
BRIAN SCOTT BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4109 HARTFORD HILLS DR, BENTON, AR 72019-2540
(501) 249-2543
Mailing address
4109 HARTFORD HILLS DR, BENTON, AR 72019-2540
(501) 249-2543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
212538
AR
363LF0000X
Family Nurse Practitioner
Primary
212538
AR
Other
Enumeration date
10/05/2020
Last updated
10/13/2021
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