Allied Physicians, INC.
Non-Pharmacy Dispensing Site in Fort Wayne, IN. Organization (NPI-2).
NPI number1396181301
StatusActive
Last updated in NPPESMay 16, 2013
Details
- NPI
- 1396181301
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Physicians, INC.
- Organization subpart
- No
- Enumeration date
- May 16, 2013
- Last updated
- May 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 01033527A | IN | Yes |
Other names
- Fort Wayne Neurological Center - Jefferson (Doing Business As)
Practice location
7956 W. Jefferson Blvd.Fort Wayne, IN 46804
Phone 260-436-2416 · Fax 260-436-6936
Mailing address
7956 W. Jefferson Blvd.Fort Wayne, IN 46804
Phone 260-436-2416 · Fax 260-436-6936
Authorized official
James C Stevens
Neurologist
2604362416
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