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Individual

CHARLES M ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8333 NAAB RD STE 400, INDIANAPOLIS, IN 46260-1992
(317) 338-6666
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01031862A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01031862A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100369780
IN
Enumeration date
03/15/2006
Last updated
11/23/2016
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