BRIAN S NILES

BLYTHEVILLE, AR
NPI1538498472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: AR  E-7820)
Additional Taxonomies208800000X Urology
(Licence: MO  2009034738)
Enumeration Date2009-12-23
Last Update Date2013-10-31
Business Address
Dr. BRIAN S NILES M.D.
609 FULTON ST
BLYTHEVILLE, AR 72315-1922
Phone number: 870-763-0855
Mailing Address
Dr. BRIAN S NILES M.D.
609 FULTON ST
BLYTHEVILLE, AR 72315-1922
Phone number: 870-763-0855