| NPI | 1154496503 |
|---|---|
| Doing Business As | LICKING MEMORIAL PHYSICIAN WOUND SERVICES |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. WEBSTER VP Financial Service 740-348-4518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-02-18 |