Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMBRIA MOTEN, M.D.
ActiveSurgical Oncology · FORT WAYNE, IN
Registration Details
- NPI Number
- 1558773408
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2014 (11.902316744827 yrs)
- Last Updated
- Oct 2, 2023
- Licenses
-
MT206256 (PA)01090665A (IN)
Practice Information
- Address
-
11050 PARKVIEW CIRCLE DRFORT WAYNE, IN, 468451739Browse IN providers · Browse ZIP 46845
- Phone
- 8332748326
- Fax
- 2602667935
- Primary Specialty
-
Surgical Oncology
2086X0206X
- Additional Specialty
- Surgical Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.