Organization
PEDIATRIC SLEEP AND NEURO CENTER
Active
Parent organization
PEDIATRIC SLEEP AND NEURO CENTER
Other names
Pediatric Sleep and Neuro Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC SLEEP AND NEURO CENTER
Authorized official
DR. SAMUEL DZODZOMENYO MD (OWNER)
(614) 446-1820
Entity
Organization
Contact information
Practice address
7811 FLINT RD, COLUMBUS, OH 43235-6420
(614) 446-1820
Mailing address
7811 FLINT RD, COLUMBUS, OH 43235-6420
(614) 446-1820
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
35.070439
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2502652
—
OH
05
—
64086143
—
KY
Enumeration date
10/10/2016
Last updated
03/30/2017
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