Allied Physicians INC., D/B/A Tri-State Physical Medicine
Physical Medicine & Rehabilitation in Fort Wayne, IN. Organization (NPI-2).
NPI number1477544369
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477544369
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Physicians INC., D/B/A Tri-State Physical Medicine
- Organization subpart
- No
- Enumeration date
- Oct 31, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
7910 W Jefferson BlvdSuite 200
Fort Wayne, IN 46804-4159
Phone 260-436-2416
Mailing address
7910 W Jefferson BlvdSuite 200
Fort Wayne, IN 46804-4159
Phone 260-436-2416
Authorized official
Stephen R Smith
Ceo/Treasurer
2604362416
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