Most Relevant Information
Provider Data
| NPI Number: | 1003815598 |
| Provider Name: | H CARL MOULTRIE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207X00000X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 01026965A |
Most Important Dates
| Enumeration Date: | 07/18/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
255 E 90TH DR
SUITE W1
MERRILLVILLE
IN
46410
Practice Location Phone/Fax
| Phone: | 2197939029 |
| Fax: | 2197939101 |
Provider Mailing Location
PO BOX 10727
MERRILLVILLE
IN
464110727
Provider Mailing Phone/Fax
| Phone: | 2197939029 |
| Fax: | 2197939101 |
Suggested EMR
Orthopedic EMR