Individual
CYRIAC JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01065996A
IN
207L00000X
Anesthesiology Physician
33839
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3326318
—
TN
Enumeration date
07/12/2005
Last updated
11/22/2024
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