Individual
ROBERT MARQUEZ DE LAS ALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1375 N GREEN ST, SUITE 100, BROWNSBURG, IN 46112-8734
(317) 852-2251
(317) 852-1225
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002345
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200431620
—
IN
01
—
P00887144
RAILROAD PTAN
IN
Enumeration date
06/15/2006
Last updated
01/28/2021
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