Organization
CENTER FOR COLON AND RECTAL CARE LLC
Active
Organization
CENTER FOR COLON AND RECTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE L. FLOYD MD (CHIEF OPERATING OFFICER)
(260) 672-1719
Entity
Organization
Contact information
Practice address
12012 WOOD GLEN DR, FORT WAYNE, IN 46814-4515
(260) 672-1719
Mailing address
12012 WOOD GLEN DR, FORT WAYNE, IN 46814-4515
(260) 672-1719
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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