Foundation Surgery Affiliate Of Fort Wayne, Llc

NPI 1144275629 - Clinic/Center - 261QA1903X

NPI Details
NPI 1144275629
Enumeration Date 05/23/2006
Last Updated 02/01/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICK RICK
Position ADMINISTRATOR
Phone (260) 434-3600
Fax (260) 434-3680
Practice Location
8004 CARNEGIE BLVD.
FORT WAYNE IN, 46804-5785, US
Phone (260) 434-3600
Fax (260) 434-3680
Business Location
8004 CARNEGIE BLVD.
FORT WAYNE IN, 46804-5785, US
Phone (260) 434-3600
Fax (260) 434-3680
Toxanomy
Taxonomy Code 261QA1903X
License State Indiana
License Number PENDING
Remove 1144275629 NPI Number
 

According to our database, Foundation Surgery Affiliate Of Fort Wayne, Llc NPI is 1144275629, taxonomy code is 261QA1903X and license number is PENDING, license state is located at Indiana. Foundation Surgery Affiliate Of Fort Wayne, Llc physically located at 8004 Carnegie Blvd., Fort Wayne IN, 46804-5785. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1144275629 NPI number is provided on an as is basis without warranty of any kind. 1144275629 is maintained by the National Plan & Provider Enumeration System. The contents of Foundation Surgery Affiliate Of Fort Wayne, Llc are for informational purposes only.