Organization
ASSOCIATED FAMILY MEDICAL CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT W COIL MD (PRESIDENT)
(260) 486-6197
Entity
Organization
Contact information
Practice address
6400 ROTHMAN RD, FORT WAYNE, IN 46835-1366
(260) 485-1544
(260) 485-0490
Mailing address
6400 ROTHMAN RD, FORT WAYNE, IN 46835-1366
(260) 485-1544
(260) 485-0490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100462980
—
IN
Enumeration date
07/24/2006
Last updated
06/04/2009
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