AMEAN IMAD AMRA

TERRE HAUTE, IN
NPI1134784721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: IN  01092789A)
Enumeration Date2019-05-08
Last Update Date2026-02-22
Business Address
AMEAN IMAD AMRA DO
1725 N 5TH ST
TERRE HAUTE, IN 47804-4010
Phone number: 812-242-3005
Mailing Address
AMEAN IMAD AMRA DO
1725 N 5TH ST
TERRE HAUTE, IN 47804-4010
Phone number: 812-242-3005