Individual
RICHARD CHRISTOPHER MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 400, INDIANAPOLIS, IN 46260-2053
(317) 338-6815
Mailing address
8402 HARCOURT RD STE 400, INDIANAPOLIS, IN 46260-2053
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
01056126A
IN
Other
Enumeration date
07/10/2006
Last updated
07/26/2022
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