Organization
RENAL ASSOCIATES OF CENTRAL IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J RYDER (OFFICE MANAGER)
(765) 298-4120
Entity
Organization
Contact information
Practice address
3025 NORTH OAKWOOD AVENUE, MUNCIE, IN 47304-3987
(765) 298-4120
(765) 751-3377
Mailing address
PO BOX 506, YORKTOWN, IN 47396-0506
(765) 298-4120
(765) 751-3377
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01042569A
IN
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100413220
—
IN
05
—
100413220B
—
IN
05
—
200112430
—
IN
Enumeration date
09/13/2006
Last updated
02/01/2018
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