Individual
DR. MARTIN ENOC MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1485 CHESTER BLVD, REID PEDIATRIC & INTERNAL MEDICINE, RICHMOND, IN 47374-1919
(765) 966-5527
(765) 966-5528
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 966-5527
(765) 966-5528
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01076999A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001018795
ANTHEM
IN
05
—
0171434
—
OH
05
—
201361720
—
IN
Enumeration date
04/30/2013
Last updated
05/17/2021
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