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Organization

JAB SPORTS MEDICINE & DIRECT PRIMARY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEEN BRYANT MD, CAQSM, MBA (OWNER/PRESIDENT)
(219) 292-4973
Entity
Organization

Contact information

Practice address
5521 W LINCOLN HWY STE 230, CROWN POINT, IN 46307-1097
(219) 301-1158
(219) 301-1158
Mailing address
8049 W 85TH CT, CROWN POINT, IN 46307-8981
(219) 292-4973
(219) 301-1158

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
05/16/2022
Last updated
05/16/2022
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