Individual
GARLAND EDWARD BYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WALTER SCHOLER DR, LAFAYETTE, IN 47909-6303
(765) 448-8000
(765) 448-8262
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01029094A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000193056
ANTHEM PROVIDER NUMBER
IN
05
—
100231400
—
IN
01
—
10824861
CAQH NUMBER
IN
01
—
9396901
PHCS PID NUMBER
IN
05
—
BY80513029
—
IN
Enumeration date
03/15/2006
Last updated
05/24/2011
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