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Individual
BRYAN CHRISTOPHER UMBERG
Active
Individual
BRYAN CHRISTOPHER UMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002839
OH
363A00000X
Physician Assistant
Primary
10001305A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000745961
ANTHEM
IN
Enumeration date
10/28/2008
Last updated
07/31/2013
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