Organization
PROMEDICA CENTRAL PHYSICIANS, LLC
Active
Other names
Pediatric Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA I. DIXON (CREDENTIALING COORDINATOR)
(419) 824-7288
Entity
Organization
Contact information
Practice address
2142 N COVE BLVD, 5-NORTH PEDS, TOLEDO, OH 43606-3895
(419) 291-4000
(419) 479-6102
Mailing address
PO BOX 2804, TOLEDO, OH 43606-0804
(419) 291-4000
(419) 479-6102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OH
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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