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Organization
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Active
Organization
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR IGNACIO MORENO-PONTE MD (GENERAL SURGERY RESIDENT)
(317) 362-5518
Entity
Organization
Contact information
Practice address
545 BARNHILL DR, INDIANAPOLIS, IN 46202-5112
(317) 274-7139
Mailing address
4709 EAGLES WATCH DR, INDIANAPOLIS, IN 46254-9536
(317) 757-6676
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11014403A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11014403A
MEDICAL RESIDENCY PERMIT
IN
Enumeration date
08/18/2008
Last updated
08/18/2008
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