Individual
THOMAS M BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8424 NAAB RD, STE. 1C, INDIANAPOLIS, IN 46260-5918
(317) 875-7221
(317) 879-8063
Mailing address
10601 E 106TH ST, STE. 1C, FISHERS, IN 46037-8270
(317) 849-9297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01022653A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100047380
—
IN
Enumeration date
02/14/2006
Last updated
03/30/2016
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