NPI 1003469495
Clinical Colleagues of Indiana PC
Practice location
- Address
- 500 Arcade Ave STE 100, Elkhart, IN 46514-2478
- Phone
- (800) 927-0002
- Fax
- (603) 893-8886
- Mailing address
- 1765 E Nine Mile Rd STE 1-229, Pensacola, FL 32514-5479
Authorised official
- Name
- Kurt Zumwalt
- Title
- President
- Phone
- (410) 429-6115
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Anesthesiology Physician
Registry record
- NPI
- 1003469495
- Entity type
- Organization
- NPI issued
- 24 Jul 2019
- Record last updated
- 21 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.