Organization
ALLIED PHYSICIANS INC
Active
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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