Organization
PEDIATRIC ORTHOPEDIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA JEAN SMITH (OFFICE MANAGER)
(419) 517-7505
Entity
Organization
Contact information
Practice address
7630 KINGS POINTE RD, TOLEDO, OH 43617-1500
(419) 517-7533
(419) 517-7501
Mailing address
7630 KINGS POINTE RD, TOLEDO, OH 43617-1500
(419) 517-7533
(419) 517-7501
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
35087835
OH
Other
Enumeration date
03/25/2015
Last updated
10/16/2019
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