Individual
CHARLES MACIAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
600 IRONWOOD DR STE A, FRANKLIN, IN 46131-8324
(317) 668-3145
Mailing address
8650 VALLEY LAKE CT, INDIANAPOLIS, IN 46227-6925
(317) 590-4151
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001526A
IN
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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