Individual
MR. BRYAN M CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
2020 UNION ST STE 100, LAFAYETTE, IN 47904-2694
(765) 449-4758
(765) 449-0659
Mailing address
2020 UNION ST STE 100, LAFAYETTE, IN 47904-2694
(765) 449-4758
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001349A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07001349A
DPM LICENSE
IN
01
—
07001349B
CSR LICENSE
IN
Enumeration date
03/27/2017
Last updated
08/01/2023
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