PEDSTAT

FORT WAYNE, IN
NPI1265519185
Entity TypeOrganization
Authorized ContactGIRIDHAR RAO VEERULA
Owner
260-436-7722
Organization Subpart ?No
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
Enumeration Date2006-11-01
Last Update Date2007-09-07
Business Address
PEDSTAT
3919 W JEFFERSON BLVD SUITE 2
FORT WAYNE, IN 46804-6811
Phone number: 260-436-7722
Mailing Address
PEDSTAT
3919 W JEFFERSON BLVD SUITE 2
FORT WAYNE, IN 46804-6811
Phone number: 260-436-7722
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