NPI 1568795409

Center for Colon and Rectal Care LLC

Organisation Colon & Rectal Surgery Physician Fort Wayne, IN

Practice location

Address: 12012 Wood Glen Dr, Fort Wayne, IN 46814-4515
Phone: (260) 672-1719

Authorised official

Name: Nadine L. Floyd
Title: Chief Operating Officer
Phone: (260) 672-1719

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in Indiana →

Registry record

NPI: 1568795409
Entity type: Organization
NPI issued: 10 Sep 2009
Record last updated: 10 Sep 2009

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.