| Associated Family Medical Consultants Pc | |
|
6400 Rothman Rd Fort Wayne IN 46835-1366 | |
| (260) 485-1544 | |
| (260) 485-0490 |
| Full Name | Associated Family Medical Consultants Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6400 Rothman Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Brent W Coil (PRESIDENT) |
| Authorized Official Contact | 2604866197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Family Medical Consultants Pc 6400 Rothman Rd Fort Wayne IN 46835-1366 Ph: (260) 485-1544 | Associated Family Medical Consultants Pc 6400 Rothman Rd Fort Wayne IN 46835-1366 Ph: (260) 485-1544 |
| NPI Number | 1265454755 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 06/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265454755 | NPI | - | NPPES |
| 100462980 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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