Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Other names
South Toledo Pediatric Associstes
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA DIXON (CREDENTIALING ASSISTANT)
(419) 824-7288
Entity
Organization
Contact information
Practice address
660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 43537-1745
(419) 891-6221
(419) 893-3394
Mailing address
660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 43537-1745
(419) 891-6221
(419) 893-3394
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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