ALFONSO Q ESTRADA

TERRE HAUTE, IN
NPI1932168697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: IN  01065735A)
Additional Taxonomies174400000X Specialist
(Licence: IL  036-057641)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IN  01065735A)
Enumeration Date2006-03-21
Last Update Date2013-03-14
Business Address
-- ALFONSO Q ESTRADA M.D.
1429 N 6TH ST
TERRE HAUTE, IN 47807-1037
Phone number: 812-242-3175
Mailing Address
-- ALFONSO Q ESTRADA M.D.
221 S 6TH ST
TERRE HAUTE, IN 47807-4214
Phone number: 812-242-3175