Dr. William A Loe Jr., M.D.
Surgery, Pediatric Surgery in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1528024783
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1528024783
- Entity type
- Individual (NPI-1)
- Name
- Dr. William A Loe Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2006
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | ME111827 | FL | Yes |
| 2086S0120X | Surgery, Pediatric Surgery | 016509 | LA | |
| 2086S0120X | Surgery, Pediatric Surgery | 52366 | SC | |
| 2086S0120X | Surgery, Pediatric Surgery | 62296 | TN | |
| 2086S0120X | Surgery, Pediatric Surgery | 01079883A | IN |
Practice location
11123 Parkview Plaza Dr Ste 200Fort Wayne, IN 46845
Phone 260-425-6100 · Fax 260-425-6105
Mailing address
3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703
Other practice locations
9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870
Columbia, SC 29203-6870
Phone 803-434-4555 · Fax 803-434-4599
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Other Pediatric Surgery Physician providers in Fort Wayne, IN
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