Organization
ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Active
Parent organization
ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Other names
Womens Health Advantage
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Authorized official
MS. TRISH WARREN (CFO)
(260) 432-4400
Entity
Organization
Contact information
Practice address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Mailing address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
IN
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FP0976
RAILROAD
IN
Enumeration date
11/18/2008
Last updated
06/30/2016
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