NPI | 1104032408 |
---|---|
Doing Business As | MUSKINGUM PEDIATRICS |
Entity Type | Organization |
Authorized Contact | OTHELLO R REPUYAN President 740-454-7119 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35041605) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2008-06-16 |