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Organization

CENTRAL INDIANA ORTHOPEDICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR P MORAN (CEO)
(765) 284-7738
Entity
Organization

Contact information

Practice address
2610 ENTERPRISE DR, ANDERSON, IN 46013-9684
(765) 683-4400
(765) 608-3657
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 683-4400
(765) 608-3657

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
207X00000X
Orthopaedic Surgery Physician
Primary
2255A2300X
Athletic Trainer
36000811A
IN

Other

Enumeration date
01/25/2012
Last updated
11/29/2022
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