Most Relevant Information
Provider Data
| NPI Number: | 1003517954 |
| Provider Name: | ANTHONY DZIGBORDI |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 28233741A |
Most Important Dates
| Enumeration Date: | 03/16/2023 |
| Last Updated: | 03/16/2023 |
Provider Practice Location
5050 N CLINTON ST
FORT WAYNE
IN
468255886
Practice Location Phone/Fax
| Phone: | 2604848551 |
| Fax: |
Provider Mailing Location
5052 N CLINTON ST
FORT WAYNE
IN
468255822
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |