NPI | 1396181301 |
---|---|
Doing Business As | FORT WAYNE NEUROLOGICAL CENTER - JEFFERSON |
Entity Type | Organization |
Authorized Contact | JAMES C STEVENS Neurologist 260-436-2416 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 01033527A) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2013-05-16 |