Individual provider · Type 1 NPI

Tondalaya Bedwell

Specialist · Fort Wayne, IN

NPI number 1629471248 Active

Practice location

10445 Dupont Oaks Blvd
Fort Wayne, IN 46845-8792

Call (260) 471-4770 Map

Mailing address

4201 Senica Dr
Fort Wayne, IN 46818-9372

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X06002104A (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629471248

Tondalaya Bedwell's National Provider Identifier is 1629471248, issued on Sep 28, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 28, 2014.