Individual
OLIVER JOSE MANUEL MONTIEL PAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
8579 WHIPPORWILL DR APT C, INDIANAPOLIS, IN 46256-3660
(434) 421-5403
Mailing address
8579 WHIPPORWILL DR APT C, INDIANAPOLIS, IN 46256-3660
(434) 421-5403
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-390
FL
Other
Enumeration date
06/29/2021
Last updated
06/30/2021
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