Organization
LIL FAMILY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY R BRIGHAM MD (PRESIDENT)
(800) 606-0430
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(800) 606-0430
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
IN
2085N0904X
Nuclear Radiology Physician
—
IN
Other
Enumeration date
03/22/2010
Last updated
03/31/2010
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