Individual
VICTORIA A. VAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7900 W JEFFERSON BLVD STE 306, FORT WAYNE, IN 46804-4128
(260) 458-3610
(260) 458-3611
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003954A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300073301
—
IN
Enumeration date
02/15/2023
Last updated
10/13/2023
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