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
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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