Individual
JOHN GUARDIOLA-BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 ROTARY CIR RM 270, INDIANAPOLIS, IN 46202-5133
(317) 278-4427
Mailing address
702 ROTARY CIR RM 270, INDIANAPOLIS, IN 46202-5133
(317) 278-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083652A
IN
207R00000X
Internal Medicine Physician
52274
KY
207RG0100X
Gastroenterology Physician
Primary
01083652A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102514109
ANTHEM PTAN
IN
05
—
300051819
—
IN
Enumeration date
03/28/2016
Last updated
03/08/2025
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