RUBEN HERNAN HERNANDEZ MONDRAGON

INDIANAPOLIS, IN
NPI1013181387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01065039A)
Enumeration Date2008-04-17
Last Update Date2022-06-14
Business Address
RUBEN HERNAN HERNANDEZ MONDRAGON MD
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202-2872
Phone number: 317-962-8893
Mailing Address
RUBEN HERNAN HERNANDEZ MONDRAGON MD
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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