Individual
DR. BRYAN JAMES DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8015 ENGLEWOOD RD, INDIANAPOLIS, IN 46240-2729
(317) 405-8046
Mailing address
8015 ENGLEWOOD RD, INDIANAPOLIS, IN 46240-2729
(317) 405-8046
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11013942A
IN
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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