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Inphynet Primary Care Physicians Midwest, S.C.

Physician Assistant in Fort Wayne, IN. Organization (NPI-2).

NPI number1528090610
StatusActive
Last updated in NPPESJun 16, 2023

Details

NPI
1528090610
Entity type
Organization (NPI-2)
Legal business name
Inphynet Primary Care Physicians Midwest, S.C.
Organization subpart
No
Enumeration date
Jul 7, 2006
Certification date
Jun 16, 2023
Last updated
Jun 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
207P00000X Emergency Medicine––
363L00000X Nurse Practitioner––

Practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-435-2699

Mailing address

Box 635407
Cincinnati, OH 45263-0001

Authorized official

Elmer K Choi
Owner/President
8566864342

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