Kids.healthcare PC

NPI #1821459413 in Fort Wayne, Indiana

Provider Information

NPI Number: 1821459413
Entity Type: Organization
Organization Name: Kids.healthcare PC
Primary Specialty: Pediatrics
Enumeration Date: Mar 10, 2016
Last Updated: Mar 10, 2016

Practice Location

Address: 2510 E DUPONT RD
Address 2: SUITE 238
City: Fort Wayne
State: Indiana
ZIP Code: 46825-1600
Phone: (855) 200-7337

Authorized Official

Name: DR. CHRISTOPHER P TALLO, M.D.
Title: OWNER
Phone: (855) 200-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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