Organization · Type 2 NPI
Clinical Services, LLC
Primary Care Clinic/Center · Fort Wayne, IN
NPI number
1770725244
Active
Practice location
2315 Broadway
Fort Wayne, IN 46807-1103
Fax (260) 458-8414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 71000514A (IN) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1770725244
Clinical Services, LLC's National Provider Identifier is 1770725244, issued on Mar 30, 2009. 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 Mar 30, 2009.