Individual
BRIAN K SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7276
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01048961A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205301
ANTHEM
IN
05
—
200206070
—
IN
Enumeration date
08/30/2006
Last updated
02/27/2014
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