ASSOCIATED SURGEONS AND PHYSICIANS LLC NPI 1629529029

NPI Information

ASSOCIATED SURGEONS AND PHYSICIANS, LLC is a foot and ankle surgery podiatrist in Fort Wayne, IN. ASSOCIATED SURGEONS AND PHYSICIANS, LLC NPI is 1629529029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7920 W. JEFFERSON BLVD.
STE. 230
FORT WAYNE, IN
ZIP 46804-166
Phone: (260) 432-7600
Fax: (260) 436-8498

The provider's authorized official is Lila Brager .
The authorized official title is Credentialing Coordinator and has the following contact phone number (260) 432-4400.

The CLIA number assigned to this NPI record is 15D0911790 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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