V. BRYAN PERRY MD PA
Ambulatory Health at 42 Ave, Pine Bluff, AR

License number
Arkansas C2651
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. VIRGIL BRYAN PERRY MD PA
Title: PHY/OWNER
Phone: (870) 535-4141
Address
Address
1722 W 42Nd Ave, Pine Bluff, AR 71603
National Provider ID: 1861729311
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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V. BRYAN PERRY, M.D., PA

1722 W 42 Ave, Pine Bluff, AR 71603

Status:
Inactive
Registration:
Dec 30, 1980
State ID:
100040084
Business type:
For Profit Corporation
President:
V Bryan Perry Md Pa (President)
Agent:
Dr. V. Bryan Perry,1722 W 42 Ave, Pine Bluff, AR 71603 (Physical)
Filled under act:
Dom Prof, Medical & Dental Corp; 155 of 1963, 179 of 1961 & 471 of 1961

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