# ASSOCIATED FAMILY MEDICAL CONSULTANTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265454755
- **Authorized official:** BRENT W COIL MD (PRESIDENT)
- **Authorized official phone:** (260) 486-6197

## Contact information

- **Practice address:** 6400 ROTHMAN RD, FORT WAYNE, IN 46835-1366
- **Practice address phone:** (260) 485-1544
- **Practice address fax:** (260) 485-0490
- **Mailing address:** 6400 ROTHMAN RD, FORT WAYNE, IN 46835-1366
- **Mailing address phone:** (260) 485-1544
- **Mailing address fax:** (260) 485-0490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 06/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100462980 | — | IN |