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Organization

CENTRAL INDIANA ORTHOPEDICS, LLC

Active
Other names
OrthoAlliance of Indiana
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR MORAN (CEO)
(765) 284-7738
Entity
Organization

Contact information

Practice address
5218 BECK DR STE 10, ELKHART, IN 46516-9132
(574) 247-9441
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
12/07/2023
Last updated
12/07/2023
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