Organization
THREE RIVERS SURGICAL ASSOCIATES, LLC
Active
Other names
Mary Ann Meo, DO, FACS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN MEO (DO)
(260) 969-2990
Entity
Organization
Contact information
Practice address
2510 E DUPONT RD, SUITE 210, FORT WAYNE, IN 46825-1600
(260) 969-2990
(260) 969-2991
Mailing address
P.O. BOX 10653, FORT WAYNE, IN 46853
(260) 969-1950
(260) 918-2137
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200536920A
—
IN
01
—
DE1356
RAILROAD MEDICARE
IN
Enumeration date
05/18/2006
Last updated
03/08/2011
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