Pediatric Associates INC

NPI #1659375079 in Fort Wayne, Indiana

Provider Information

NPI Number: 1659375079
Entity Type: Organization
Organization Name: Pediatric Associates INC
Primary Specialty: Pediatrics
Enumeration Date: Jun 13, 2005
Last Updated: Apr 10, 2024

Practice Location

Address: 7910 W JEFFERSON BLVD
Address 2: STE 201
City: Fort Wayne
State: Indiana
ZIP Code: 46804-4159
Phone: (260) 436-3789

Authorized Official

Name: DR. DAVID A RUSK
Title: PRESIDENT
Phone: (260) 436-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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