NPI 1407383094

Jose Marco Julian Ja Ruiz de Luzuriaga Mendezona

Practitioner Hospitalist Physician Muncie, IN

Practice location

Address: 2525 W University Ave STE 401, Muncie, IN 47303-3433
Phone: (765) 747-4306
Mailing address: 2401 W University Ave, Muncie, IN 47303-3428

Registered specialties (2)

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 01084065A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1407383094
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2017
Record last updated: 15 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.