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NPI Code Detail

MEDICARE: BRIAN SETH WARNER PA-C

MEDICARE: BRIAN SETH WARNER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant10000765AIN

General Provider Information

NPI Number : 1346222833
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN SETH WARNER PA-C
Provider Business Mailing Address
First Line : PO BOX 1329
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47402-1329
Country : US
Telephone Number : 812-353-2154
Fax Number : 812-353-5859
Provider Business Practice Location Address
First Line : 2920 S MCINTIRE DR STE 350
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-4215
Country : US
Telephone Number : 812-353-3277
Fax Number : 812-339-2934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 12/23/2020

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Directions to “ BRIAN SETH WARNER PA-C” Practice Location

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