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Organization

PAIN MANAGEMENT AND ANESTHESIA ASSOCIATES

Active
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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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