Three Rivers Anesthesia, LLC

NPI #1760542468 in Fort Wayne, Indiana

Provider Information

NPI Number: 1760542468
Entity Type: Organization
Organization Name: Three Rivers Anesthesia, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7956 W. JEFFERSON BLVD.
City: Fort Wayne
State: Indiana
ZIP Code: 46804
Phone: (765) 284-0493

Authorized Official

Name: DR. MARY JENNIFER YAO ONG PHUONG, M.D.
Title: OWNER
Phone: (765) 284-0493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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