Organization
PLAIN CITY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA DANIELLE FENN MD (PEDIATRICIAN)
(614) 570-3598
Entity
Organization
Contact information
Practice address
480 S JEFFERSON AVE STE 400, PLAIN CITY, OH 43064-4137
(614) 570-3598
Mailing address
5784 BONALY CT, DUBLIN, OH 43016-9439
(614) 570-3598
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.093851
OH
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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