NPI 1043630916

Sable Paige Locke, MD

Practitioner Urology Physician Fort Wayne, IN

Practice location

Address: 11141 Parkview Plaza Dr STE 320, Fort Wayne, IN 46845-1714
Phone: (260) 425-5400
Fax: (260) 425-5417
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 01090912A (IN)

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Registry record

NPI: 1043630916
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2014
Record last updated: 2 May 2024

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.