Organization
PEDESTALS FOR WOMENS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA YBANEZ-MORANO MD (OWNER)
(740) 282-6390
Entity
Organization
Contact information
Practice address
1 ROSS PARK BLVD, SUITE G-2, STEUBENVILLE, OH 43952-2681
(740) 346-2014
(740) 346-2013
Mailing address
380 SUMMIT AVE, MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7597
(740) 283-7608
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.073473
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111251
—
OH
Enumeration date
09/30/2014
Last updated
02/09/2015
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