Individual
JAMES R BYRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N TILLOTSON AVE, MUNCIE, IN 47304-3900
(765) 288-1995
(765) 281-9114
Mailing address
205 N TILLOTSON AVE, MUNCIE, IN 47304-3900
(765) 288-1995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01024076
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01024076A
PHYSICIAN LICENSURE
IN
05
—
100105150
—
IN
Enumeration date
11/14/2005
Last updated
06/17/2011
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