Individual
DR. DANA CHARLES MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
359 N WEST ST, APT 284, INDIANAPOLIS, IN 46202-4207
(131) 769-8919
Mailing address
359 N WEST ST, APT 284, INDIANAPOLIS, IN 46202-4207
(131) 769-8919
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
11014752A
IN
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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