NPI 1003073651

Bryan James Dicken, MD

Practitioner Student in an Organized Health Care Education/Training Program Indianapolis, IN

Practice location

Address: 8015 Englewood Rd, Indianapolis, IN 46240-2729
Phone: (317) 405-8046

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence 11013942A (IN)

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Registry record

NPI: 1003073651
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2008
Record last updated: 21 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.