SearchIndiana363A00000X

Mary Grace Bookmyer, PA-C

NPI 1679386023 · on the registry since 2025 · sole proprietor

Practice

Address
1721 Magnavox Way
Fort Wayne, IN 46804
Phone
(260) 748-3650
Organisation at this address
Ks Tko Anesthesia
Coffman Anesthesiology Llc
Racc Medical Associates Llc
Surgery Center Of Fort Wayne
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana