Organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
Licking Memorial Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA L. WEBSTER (VP OF FINANCIAL SERVICES)
(740) 348-4518
Entity
Organization
Contact information
Practice address
1272 WEST MAIN STREET, BLDG 2, NEWARK, OH 43055-2004
(740) 348-7985
(740) 348-7986
Mailing address
1272 WEST MAIN STREET, BLDG 2, NEWARK, OH 43055-2004
(740) 348-7985
(740) 348-7986
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
05/12/2011
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