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Organization

PROMEDICA CENTRAL PHYSICIANS, LLC

Active
Other names
Toledo Peds
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY GOVAN (CREDENTIALING ASSISTANT)
(419) 824-7221
Entity
Organization

Contact information

Practice address
7140 PORT SYLVANIA DR, SUITE 150, TOLEDO, OH 43617-1176
(419) 843-8170
(419) 843-1804
Mailing address
7140 PORT SYLVANIA DR, SUITE 150, TOLEDO, OH 43617-1176
(419) 843-8170
(419) 843-1804

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/15/2007
Last updated
08/15/2007
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