NPI 1073798146

The Children's Health Center

Organisation Specialist Fort Wayne, IN

Practice location

Address: 2510 East Dupont Road Suite 236, Fort Wayne, IN 46825
Phone: (260) 490-8022
Fax: (260) 490-8035

Authorised official

Name: Christopher Philip Tallo
Title: Medical Doctor
Phone: (260) 490-8022

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0144949 (IN)

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Registry record

NPI: 1073798146
Entity type: Organization
NPI issued: 8 Jan 2008
Record last updated: 8 Jan 2008

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.