Organization
ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH WARREN (CFO)
(260) 432-4400
Entity
Organization
Contact information
Practice address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Mailing address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IN
207R00000X
Internal Medicine Physician
—
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
IN
207VM0101X
Maternal & Fetal Medicine Physician
—
IN
208000000X
Pediatrics Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
IN
208600000X
Surgery Physician
—
IN
208C00000X
Colon & Rectal Surgery Physician
—
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
—
IN
363L00000X
Nurse Practitioner
—
IN
367A00000X
Advanced Practice Midwife
—
IN
Other
Enumeration date
11/14/2008
Last updated
10/05/2016
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