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Individual

BRYANT H DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8580
(317) 392-3211
(317) 398-1851
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02006571A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300027784
IN
Enumeration date
03/21/2019
Last updated
03/16/2022
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