| NPI | 1457625758 |
|---|---|
| Doing Business As | LICKING MEMORIAL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. WEBSTER VP Of Financial Services 740-348-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |