Individual
MR. BRENT JUSTIN AMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10767 ILLINOIS ST STE 3000, CARMEL, IN 46032-8972
(317) 817-1200
(317) 817-1220
Mailing address
10767 ILLINOIS ST STE 3000, CARMEL, IN 46032-8972
(317) 817-1200
(317) 817-1220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006431
—
IN
Enumeration date
01/21/2008
Last updated
07/22/2026
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