Individual
BRYAN E JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
(317) 274-0256
Mailing address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
(317) 274-0256
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103804730
ANTHEM PTAN
IN
Enumeration date
01/19/2024
Last updated
12/04/2024
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