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Organization
ASSOCIATED SURGEONS AND PHYSICIANS
Active
Organization
ASSOCIATED SURGEONS AND PHYSICIANS
Active
Other names
Women's Healht Advantage
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT C BOYD MD (PRESIDENT)
(260) 432-4400
Entity
Organization
Contact information
Practice address
2512 E DUPONT RD, SUITE 200, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Mailing address
2512 E DUPONT RD, SUITE 200, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200023530A
—
IN
05
—
200023530B
—
IN
05
—
200023530C
—
IN
01
—
CC2836
RAIL ROAD MEDICARE
IN
01
—
CH3541
RAIL ROAD MEDICARE
IN
Enumeration date
01/10/2006
Last updated
07/01/2010
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