NPI 1023091253

Thomas G Edwards, PAC

Practitioner Medical Physician Assistant Fort Wayne, IN

Practice location

Address: 2200 Randallia Dr, Fort Wayne, IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
Mailing address: 3640 New Vision Drive Suite a, Fort Wayne, IN 46845-1717

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 10000133 (IN)

Other Physician Assistant providers in Indiana →

Registry record

NPI: 1023091253
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2005
Record last updated: 13 Nov 2013

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.