Organization
PAIN MANAGEMENT AND ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DAVID BOJRAB MD (DOCTOR)
(260) 490-2525
Entity
Organization
Contact information
Practice address
10228 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1611
(260) 490-2525
(260) 490-7254
Mailing address
10228 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1611
(260) 490-2525
(260) 490-7254
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
IN
367500000X
Certified Registered Nurse Anesthetist
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200096320
—
IN
Enumeration date
03/07/2007
Last updated
01/24/2013
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