Blair Brengle MD

NPI 1023014420 - Family Medicine - 207Q00000X

NPI Details
NPI 1023014420
Gender Male
Enumeration Date 06/22/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
9002 N MERIDIAN ST
STE 107
INDIANAPOLIS IN, 46260-5349, US
Phone (317) 848-7970
Fax
Business Location
9002 N MERIDIAN ST
STE 107
INDIANAPOLIS IN, 46260-5349, US
Phone (317) 848-7970
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01043339
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According to our database, Blair Brengle MD NPI is 1023014420, taxonomy code is 207Q00000X and license number is 01043339, license state is located at Indiana. Blair Brengle MD physically located at 9002 N Meridian St, Indianapolis IN, 46260-5349. NPI Number Blair Brengle MD has the Individual type.

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1023014420 NPI number is provided on an as is basis without warranty of any kind. 1023014420 is maintained by the National Plan & Provider Enumeration System. The contents of Blair Brengle MD are for informational purposes only.