| NPI | 1720696396 |
|---|---|
| Doing Business As | FORTIS ANESTHEISA |
| Doing Business As | FORTIS ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER IRWIN Owner/Authorized Official 765-284-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-10-07 |