Organization · Type 2 NPI

Pediatric Pulmonary & Critical Care, PC

Pediatric Pulmonology Physician · Fort Wayne, IN

NPI number 1225169196 Active

Practice location

7910 West Jefferson Blvd., Ste 205
Fort Wayne, IN 46804-4159

Fax (260) 435-7007

Mailing address

Pmb 218 10214 Chestnut Plaza Drive
Fort Wayne, IN 46814-8970

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Pediatric Critical Care Medicine Physician 2080P0203XNone listed
Pediatric Critical Care Medicine Physician 2080P0203X01049779A (IN)
Pediatric Pulmonology Physician 2080P0214XNone listed
Pediatric Pulmonology Physician Primary 2080P0214X01049779A (IN)

Pediatric Pulmonology Physician: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

About NPI 1225169196

Pediatric Pulmonary & Critical Care, PC's National Provider Identifier is 1225169196, issued on Mar 9, 2007. The primary taxonomy on file is Pediatric Pulmonology Physician (2080P0214X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 6, 2012.