Bryant Thomas Phelan

NPI #1992084479 in Malvern, Arkansas

Provider Information

NPI Number: 1992084479
Entity Type: Individual
Name: Bryant Thomas Phelan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Aug 15, 2011
Last Updated: Aug 15, 2011

Practice Location

Address: 1615 MLK BLVD
City: Malvern
State: Arkansas
ZIP Code: 72104-2233
Phone: (501) 332-5236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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