Individual
DR. BRANDON DAVIS INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 664-2434
(501) 552-5311
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 664-2434
(501) 552-5311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-13626
AR
Other
Enumeration date
06/29/2012
Last updated
05/19/2022
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