Organization
KIDS.HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER P TALLO M.D. (OWNER)
(855) 200-7337
Entity
Organization
Contact information
Practice address
2510 E DUPONT RD, SUITE 238, FORT WAYNE, IN 46825-1600
(855) 200-7337
(888) 828-8197
Mailing address
2510 E DUPONT RD, SUITE 238, FORT WAYNE, IN 46825-1600
(855) 200-7337
(888) 828-8197
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01044949
IN
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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