NPI 1083614127

John Philip Bryan, PAC

Practitioner Surgical Physician Assistant Evansville, IN

Practice location

Address: 225 Crosslake Dr, Evansville, IN 47715-8198
Phone: (812) 477-1558
Fax: (812) 488-4669
Mailing address: 323s 18th Ave, Sturgeon Bay, WI 54235-1401

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 99039830A (IN)

Other Physician Assistant providers in Indiana →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 5601002612 (MI)

Registry record

NPI: 1083614127
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2005
Record last updated: 24 Aug 2015

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.