THREE RIVERS ANESTHESIA, LLC

FORT WAYNE, IN
NPI1760542468
Entity TypeOrganization
Authorized ContactMARY JENNIFER YAO ONG PHUONG
Owner
765-284-0493
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2006-12-11
Last Update Date2020-08-22
Business Address
THREE RIVERS ANESTHESIA, LLC
7956 W. JEFFERSON BLVD.
FORT WAYNE, IN 46804
Phone number: 765-284-0493
Mailing Address
THREE RIVERS ANESTHESIA, LLC
2001 N GRANVILLE AVE
MUNCIE, IN 47303-2110
Phone number: 765-284-0493