| NPI | 1295775435 |
|---|---|
| Doing Business As | LICKING MEMORIAL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ROBERT A. MONTAGNESE Executive Ice President 740-348-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |