Individual
DR. BRYAN T JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SOUTH UNIVERSITY AVE, SUITE 101, LITTLE ROCK, AR 72205-5314
(501) 664-3914
(501) 664-5246
Mailing address
500 SOUTH UNIVERSITY AVE, SUITE 101, LITTLE ROCK, AR 72205-5314
(501) 664-3914
(501) 664-5246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E4776
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161444001
—
AR
Enumeration date
06/29/2006
Last updated
11/19/2013
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