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Individual

BRYAN PAUL SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
176 S BELLEVUE BLVD, SUITE 603, MEMPHIS, TN 38104-3424
(901) 516-8231
(901) 516-8249
Mailing address
176 S BELLEVUE BLVD, SUITE 603, MEMPHIS, TN 38104-3424
(901) 516-8231
(901) 516-8249

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD 15503
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3020692
TN
01
E0615
AR LICENSE
AR
Enumeration date
06/08/2005
Last updated
06/21/2010
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