Individual
DR. JHON M NOGALES PIMIENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-7101
Mailing address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-7101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101275350
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2019
Last updated
08/19/2022
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