Individual
DR. ERIC MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
144 S 21ST ST, RICHMOND, IN 47374-5732
(307) 262-1408
Mailing address
144 S 21ST ST, RICHMOND, IN 47374-5732
(307) 262-1408
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01089616A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
6217A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114320400
WYOMING MEDICAID
WY
05
—
114320400
—
WY
01
—
308054
BLUE SHIELD
WY
01
—
780001530
RAILROAD MEDICARE
WY
Enumeration date
05/27/2005
Last updated
02/14/2024
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