| Bryan Glynn Laura | |
|
801 Saint Marys Dr Suite 302-e Evansville IN 47714-0511 | |
| (812) 485-4141 | |
| Not Available |
| Full Name | Bryan Glynn Laura |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 Saint Marys Dr, Evansville, Indiana |
| Authorized Official Name and Position | Karen Keil (OPERATIONS MANAGER) |
| Authorized Official Contact | 8124851827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Glynn Laura 801 Saint Marys Dr Suite 302-e Evansville IN 47714-0511 Ph: (812) 485-4141 | Bryan Glynn Laura 801 Saint Marys Dr Suite 302-e Evansville IN 47714-0511 Ph: (812) 485-4141 |
| NPI Number | 1124289517 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 09/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124289517 | NPI | - | NPPES |
| 200903430E | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01037535A (Indiana) | Primary |
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