Individual
DR. BRIAN M. WORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1214 SPRING ST, SUITE 2, JEFFERSONVILLE, IN 47130-3704
(812) 283-5950
(812) 285-5439
Mailing address
1214 SPRING ST, SUITE 2, JEFFERSONVILLE, IN 47130-3704
(812) 283-5950
(812) 285-5439
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01045398A
IN
2085R0204X
Vascular & Interventional Radiology Physician
01045398A
IN
Other
Enumeration date
08/09/2005
Last updated
12/13/2007
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