Organization
ANESTHESIA CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAVEN L DOVE CRNA (PRESIDENT)
(260) 724-2417
Entity
Organization
Contact information
Practice address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 736-7205
Mailing address
1409 BELL BROOK BLVD, DECATUR, IN 46733-7457
(260) 724-2417
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
28143888A
IN
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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