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Individual

GEORGE DAVID BOJRAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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 EAST, FORT WAYNE, IN 46825
(260) 490-2525
(260) 490-7254

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
01040336A
IN
367500000X
Certified Registered Nurse Anesthetist
01040336A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200037800A
IN
Enumeration date
02/13/2006
Last updated
08/08/2016
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