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Individual

DR. MORGAN A MONCADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3492
(765) 983-7958
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3492
(765) 983-7958

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01045699A
IN
208M00000X
Hospitalist Physician
Primary
01045699A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000976671
ANTHEM
IN
05
200127060
IN
Enumeration date
04/20/2006
Last updated
02/05/2016
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