Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Other names
Pediatric Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GOVAN (CREDENTIALING SPECIALIST)
(419) 824-7221
Entity
Organization
Contact information
Practice address
2142 N COVE BLVD, 5-SOUTH PEDIATRICS, TOLEDO, OH 43606-3895
(419) 291-7010
(419) 479-6102
Mailing address
2142 N COVE BLVD, 5-SOUTH PEDIATRICS, TOLEDO, OH 43606-3895
(419) 291-7010
(419) 479-6102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0999273
—
OH
Enumeration date
02/21/2007
Last updated
07/21/2022
Update your record
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