Individual
DR. BRYAN D MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3004 PINE ST, ARKADELPHIA, AR 71923-5325
(870) 246-2471
(870) 246-2476
Mailing address
3004 PINE ST, ARKADELPHIA, AR 71923-5325
(870) 246-2471
(870) 246-2476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1978
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136647001
—
AR
Enumeration date
08/08/2006
Last updated
10/22/2008
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