Organization
MID-OHIO PEDIATRICS AND ADOLESCENTS, INC.
Active
Parent organization
MIDOHIO PEDIATRICS & ADOLESCENTS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDOHIO PEDIATRICS & ADOLESCENTS, INC
Authorized official
JACKIE SCOTT (PRACTICE MANAGER)
(614) 899-0000
Entity
Organization
Contact information
Practice address
595 COPELAND MILL RD, SUITE 2A, WESTERVILLE, OH 43081-8908
(614) 899-0000
(614) 794-7597
Mailing address
595 COPELAND MILL RD, SUITE 2A, WESTERVILLE, OH 43081-8908
(614) 899-0000
(614) 794-7597
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0784021
—
OH
Enumeration date
06/12/2008
Last updated
08/11/2014
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