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Individual

DR. JAMES MARSHALL BRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 949-5482
(812) 949-5966
Mailing address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 949-5482
(812) 949-5966

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01043591A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000305174
ANTHEM BCBS
05
200040610
IN
Enumeration date
09/14/2005
Last updated
12/12/2012
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