Organization
THE PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE J KLINE (BILLING MANAGER)
(419) 224-7056
Entity
Organization
Contact information
Practice address
967 BELLEFONTAINE AVE, LIMA, OH 45804-2888
(419) 224-5437
(419) 224-8714
Mailing address
967 BELLEFONTAINE AVE, LIMA, OH 45804-2888
(419) 224-5437
(419) 224-8714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819609
—
OH
Enumeration date
09/07/2007
Last updated
09/07/2007
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