DERRICK MATTHEW OAXACA

INDIANAPOLIS, IN
NPI1124581814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OR  MD215277)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  01087336A)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-09
Last Update Date2023-07-12
Business Address
DERRICK MATTHEW OAXACA MD
1701 N SENATE BLVD # AG012
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-3525
Mailing Address
DERRICK MATTHEW OAXACA MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: