ALDRIN CODILLA ROQUE

MUNCIE, IN
NPI1356608020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01074559A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-04-18
Last Update Date2023-03-20
Business Address
Mr. ALDRIN CODILLA ROQUE MD
2401 W. UNIVERSITY AVENUE
MUNCIE, IN 47303
Phone number: 765-741-1515
Mailing Address
Mr. ALDRIN CODILLA ROQUE MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: