Organization
SURGERY ONE ANESTHESIA, LLC
Active
Organization
SURGERY ONE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JANICE HATHAWAY (CREDENTIALING OFFICER)
(260) 408-2203
Entity
Organization
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 408-8014
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/27/2025
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