Individual
DR. PABLITO DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 E DAVIS DR, TERRE HAUTE, IN 47802-4034
(812) 232-7337
(812) 232-7338
Mailing address
1310 E DAVIS DR, TERRE HAUTE, IN 47802-4034
(812) 232-7337
(812) 232-7338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01059798
IN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
01059798A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200507050
—
IN
Enumeration date
04/12/2006
Last updated
12/20/2013
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