Individual
CATHERINE C MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10101 ERNST RD STE 1200, ROANOKE, IN 46783-9711
(260) 234-5400
(260) 234-5410
Mailing address
14419 SMUGGLERS NOTCH, FORT WAYNE, IN 46814-8701
(260) 402-3139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102212175
ANTHEM PTAN
IN
05
—
201092080
—
IN
Enumeration date
06/13/2012
Last updated
01/09/2025
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