Organization
NORTHWEST BONE AND JOINT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H CARL MOULTRIE II MD (OWNER/PHYSICIAN)
(219) 793-9029
Entity
Organization
Contact information
Practice address
55 E 86TH AVE, MERRILLVILLE, IN 46410-6382
(219) 769-1670
(219) 738-6716
Mailing address
255 E 90TH DR, SUITE W1, MERRILLVILLE, IN 46410-8103
(219) 793-9029
(219) 738-6716
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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