Organization
KIDZ PARADISE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TILLY EFFIE DUNCAN-SAMPSON (OWNER)
(419) 999-9004
Entity
Organization
Contact information
Practice address
3275 W ELM ST, LIMA, OH 45805-2518
(419) 999-9004
(419) 999-9006
Mailing address
3275 W ELM ST, LIMA, OH 45805-2518
(419) 999-9004
(419) 999-9006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.077031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136914
—
OH
Enumeration date
05/09/2011
Last updated
05/09/2011
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