Individual
FERNANDO R MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7979
(317) 630-2668
Mailing address
8910 PURDUE RD, STE.500, INDIANAPOLIS, IN 46268-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01039723A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217540
—
IN
Enumeration date
05/13/2006
Last updated
08/03/2011
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