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Organization

ALLIED PHYSICIANS INC

Active
Other names
Fort Wayne Neurological Center
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN R. SMITH (CEO)
(260) 460-3100
Entity
Organization

Contact information

Practice address
2622 LAKE AVE, FORT WAYNE, IN 46805-5410
(260) 460-3100
(260) 460-3130
Mailing address
2622 LAKE AVE, FORT WAYNE, IN 46805-5410
(260) 460-3100
(260) 460-3130

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
208100000X
Physical Medicine & Rehabilitation Physician
2084N0400X
Neurology Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
02/21/2008
Last updated
02/21/2008
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