Individual
BETH L BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8925 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2386
(317) 660-4900
Mailing address
8925 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2386
(317) 660-4900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01059082A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339741
ANTHEM
IN
Enumeration date
07/31/2006
Last updated
07/19/2023
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