Individual
BRYAN MATTHEW LEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8820 S MERIDIAN ST, SUITE 125, INDIANAPOLIS, IN 46217-6056
(317) 865-6600
(317) 865-6616
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01076757A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201169340
—
IN
Enumeration date
05/07/2013
Last updated
09/16/2021
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