Organization
CENTRAL INDIANA ORTHOPEDICS, LLC
Active
Other names
OrthoAlliance of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MORAN (CEO)
(765) 284-7738
Entity
Organization
Contact information
Practice address
2349 LAKE AVE STE 201, PLYMOUTH, IN 46563-7837
(574) 247-9441
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
12/07/2023
Last updated
07/23/2024
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