Organization
CENTRAL INDIANA ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MORAN (CEO)
(765) 284-7738
Entity
Organization
Contact information
Practice address
706 N RIVER DR, MARION, IN 46952-2647
(765) 664-2671
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
10/20/2022
Last updated
11/28/2022
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