NPI | 1669547824 |
---|---|
Doing Business As | LICKING MEMORIAL PEDIATRICS EAST |
Entity Type | Organization |
Authorized Contact | ROBERT A. MONTAGNESE Credentialing Coordinator 740-348-4027 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-11-22 |
Last Update Date | 2020-08-22 |