Individual
EDWARD P AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1000 E.MAIN ST, DANVILLE, IN 46122
(317) 745-3450
Mailing address
PO BOX 485, DANVILLE, IN 46122-0485
(317) 745-6139
(317) 745-7873
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000357A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970016923
RAILROAD RETIREE MEDICARE
—
Enumeration date
06/22/2006
Last updated
12/02/2010
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