Organization
ALLIED PHYSICIANS INC
Active
Other names
Fort Wayne Neurological Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD RAY SHOOK (CEO)
(260) 399-4704
Entity
Organization
Contact information
Practice address
2512 E DUPONT RD STE 120, FORT WAYNE, IN 46825-1609
(260) 436-2416
(260) 436-6936
Mailing address
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 436-2416
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/26/2008
Last updated
10/17/2019
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