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MONTANA UPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
355 W 16TH ST STE 3000, INDIANAPOLIS, IN 46202-2207
(317) 944-6467
(317) 963-7085
Mailing address
6222 WASHINGTON BLVD, INDIANAPOLIS, IN 46220-1829
(707) 227-2869

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01096256A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/13/2020
Last updated
07/22/2025
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