Individual
DR. AMBRIA MOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 274-8326
(260) 266-7935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT206256
PA
2086X0206X
Surgical Oncology Physician
Primary
01090665A
IN
Other
Enumeration date
05/27/2014
Last updated
10/02/2023
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