Individual
BRANDON ALLEN UMPHRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W 11TH ST RM 4083, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125066274
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
1982090361
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2015
Last updated
06/16/2021
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