Individual
GLEN EDWARD BRYANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 W POLK, SUITE A, WEST MEMPHIS, AR 72301
(870) 732-2100
(870) 732-3027
Mailing address
303 W POLK, SUITE A, WEST MEMPHIS, AR 72301
(870) 732-2100
(870) 732-3027
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C5746
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102003001
—
AR
Enumeration date
07/12/2006
Last updated
12/19/2014
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