NPI 1407869787

Stanley James Votaw, PHARMACIST

Practitioner Special Hospital Fort Wayne, IN

Practice location

Address: 2121 Lake Ave, Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Mailing address: 1040 Twin Lakes Dr, Decatur, IN 46733-2610

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X Licence 26014636 (IN)

Other Special Hospital providers in Indiana →

Registry record

NPI: 1407869787
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2006
Record last updated: 8 Jul 2007

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.