| NPI | 1083634414 |
|---|---|
| Doing Business As | LICKING MEMORIAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ROBERT A. MONTAGNESE Executive V.P. 740-348-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |