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Organization

SOUTH WEST PEDIATRICS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY EARL DICKSON M.D. (OWNER/PRESIDENT)
(614) 875-3444
Entity
Organization

Contact information

Practice address
4079 GANTZ RD STE B, GROVE CITY, OH 43123-4913
(614) 875-3444
(614) 875-7780
Mailing address
4079 GANTZ RD STE B, GROVE CITY, OH 43123-4913
(614) 875-3444
(614) 875-7780

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
03/03/2011
Last updated
03/03/2011
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