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Individual

WILLIAM BRIAN TELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1662 HIGDON FERRY RD., STE 140, HOT SPRINGS, AR 71913-6314
(501) 623-8110
(501) 523-2296
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 623-8110
(501) 623-2296

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
036088159
IL
208800000X
Urology Physician
Primary
E8406
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036088159
IL
05
202136001
AR
Enumeration date
04/26/2006
Last updated
07/06/2016
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