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Individual

MARK CURTIS ARVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01037656A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000184724
ANTHEM PIN NUMBER
IN
05
100196890
IN
01
10824711
CAQH NUMBER
IN
01
9274772
PHCS PID NUMBER
IN
01
P00650454
RAILROAD MEDICARE
IN
Enumeration date
03/10/2006
Last updated
11/18/2020
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