Organization · Type 2 NPI
Directclinic LLC
Primary Care Clinic/Center · Fort Wayne, IN
NPI number
1710422746
Active
Practice location
7802 W Jefferson Blvd
Fort Wayne, IN 46804-4138
Mailing address
6435 W Jefferson Blvd, Suite 176
Fort Wayne, IN 46804-6203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1710422746
Directclinic LLC's National Provider Identifier is 1710422746, issued on Dec 29, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 29, 2016.