Individual
DR. WALDO I ORTUZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13869 KICKAPOO TR., CARMEL, IN 46033-8545
(317) 433-0280
(317) 277-3238
Mailing address
13869 KICKAPOO TR., CARMEL, IN 46033-8545
(317) 433-0280
(317) 277-3238
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
01066109A
IN
Other
Enumeration date
08/21/2009
Last updated
10/27/2010
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