| NPI | 1023087574 |
|---|---|
| Doing Business As | KIDDIE WEST PEDIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | CARL R BACKES President 614-851-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34-00-2237) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2009-07-16 |