| NPI | 1255365102 |
|---|---|
| Doing Business As | LICKING MEMORIAL FAMILY PRACTICE JOHNSTOWN |
| Entity Type | Organization |
| Authorized Contact | ROBERT MONTAGNESE Executive V.P 740-348-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |