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Organization
THE EYE SURGICAL CENTER OF FORT WAYNE, LLC
Active
Organization
THE EYE SURGICAL CENTER OF FORT WAYNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN REX PARENT M.D. (PHYSICIAN/OWNER)
(260) 422-5976
Entity
Organization
Contact information
Practice address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 422-5976
(260) 424-4511
Mailing address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 422-5976
(260) 424-4511
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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