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Individual

MATTHEW VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 274-4806
Mailing address
635 BARNHILL DR, INDIANAPOLIS, IN 46202-5126
(317) 274-4806

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
01093022A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125.074913
IL

Other

Enumeration date
06/13/2019
Last updated
06/24/2024
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