Organization
KIDS FIRST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANNA LYNN TOLEN M.D. (PRESIDENT)
(330) 702-5437
Entity
Organization
Contact information
Practice address
4133 BOARDMAN CANFIELD RD, CANFIELD, OH 44406-9047
(330) 702-5437
(330) 702-8684
Mailing address
4133 BOARDMAN CANFIELD RD, CANFIELD, OH 44406-9047
(330) 702-5437
(330) 702-8684
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35071315
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056206
—
OH
Enumeration date
05/01/2012
Last updated
05/01/2012
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