Organization
WESTERVILLE PEDIATRIC SPECIALISTS, INC.
Active
Other names
Sunbury Mills Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M WODARCYK M.D. (PRESIDENT)
(614) 508-2223
Entity
Organization
Contact information
Practice address
575 WESTAR CROSSING, SUITE 101, WESTERVILLE, OH 43082-7800
(614) 508-2223
(614) 508-2233
Mailing address
575 WESTAR CROSSING, SUITE 101, WESTERVILLE, OH 43082-7800
(614) 508-2223
(614) 508-2233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OH
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2288546
—
OH
Enumeration date
12/19/2006
Last updated
07/08/2016
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