Aeden J Ligon
Emergency Medicine, Sports Medicine in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1003666470
StatusActive
Last updated in NPPESMar 26, 2024
Details
- NPI
- 1003666470
- Entity type
- Individual (NPI-1)
- Name
- Aeden J Ligon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2024
- Certification date
- Jun 28, 2023
- Last updated
- Mar 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PS0010X | Emergency Medicine, Sports Medicine | 36003793A | IN | Yes |
Practice location
9216 Crystal Spring DrFort Wayne, IN 46804-6510
Phone 765-480-9828
Mailing address
9216 Crystal Spring DrFort Wayne, IN 46804-6510
Phone 765-480-9828
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