Individual
NICOLAS MOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
1900 N MERIDIAN ST, INDIANAPOLIS, IN 46202-1304
(317) 296-7330
(317) 296-7329
Mailing address
408 E WASHINGTON ST, BUTLER, IN 46721-1179
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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