Individual
BRYAN R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3634
Mailing address
PO BOX 12815, BELFAST, ME 04915-4019
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002338A
IN
Other
Enumeration date
08/17/2017
Last updated
10/16/2017
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