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1144724402
SURGERY ONE ANESTHESIA, LLC
FORT WAYNE, IN
NPI
1144724402
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Entity Type
Organization
Authorized Contact
BARBARA JANICE HATHAWAY
Credentialing Officer
260-408-2203
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
SURGERY ONE ANESTHESIA, LLC
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
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Mailing Address
SURGERY ONE ANESTHESIA, LLC
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551
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