Individual
ELIZABETH A BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, UH 3240, INDIANAPOLIS, IN 46202-5149
(317) 944-7744
(317) 944-7051
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01072511A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201100730
—
IN
Enumeration date
09/14/2008
Last updated
02/15/2021
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