Associated Anesthesiologists of Fort Wayne PC

NPI #1538159140 in Fort Wayne, Indiana

Provider Information

NPI Number: 1538159140
Entity Type: Organization
Organization Name: Associated Anesthesiologists of Fort Wayne PC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 25, 2005
Last Updated: Oct 21, 2024

Practice Location

Address: 6435 W JEFFERSON BLVD # 434
City: Fort Wayne
State: Indiana
ZIP Code: 46804-6203
Phone: (260) 436-7875

Authorized Official

Name: TIFFANY ANN JOLLEY
Title: NATIONAL CREDENTIALING DIRECTOR
Phone: (972) 715-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiologist Assistant	367H00000X
Anesthesiology	207L00000X	Primary

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