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NPI Code Detail

MEDICARE: ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY

MEDICARE: ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician

General Provider Information

NPI Number : 1609867613
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY
Provider Business Mailing Address
First Line : 442 W HIGH ST
Second Line :
City : BRYAN
State : OH
Zip : 43506-1681
Country : US
Telephone Number : 800-426-7308
Fax Number :
Provider Business Practice Location Address
First Line : 442 W HIGH ST
Second Line :
City : BRYAN
State : OH
Zip : 43506-1681
Country : US
Telephone Number : 800-426-7308
Fax Number :
Authorized Official
Title or Position : CEO/TREASURER
Name : STEPHEN R SMITH
Credential :
Telephone Number : 260-436-2416
Provider Enumeration Date : 10/31/2005
Last Update Date : 08/22/2020

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Directions to “ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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