Individual
GRACE A BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 S ROSENBERGER AVE STE A200, EVANSVILLE, IN 47712-6505
(812) 401-0500
Mailing address
100 S ROSENBERGER AVE STE A200, EVANSVILLE, IN 47712-6505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99088137A
IN
Other
Enumeration date
08/10/2018
Last updated
10/11/2023
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