Licking Memorial Professional Corporation

NPI #1053758631 in Newark, Ohio

Provider Information

NPI Number
1053758631
Entity Type
Organization
Organization Name
Licking Memorial Professional Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Primary Specialty
Obstetrics & Gynecology - Gynecology
Enumeration Date
May 23, 2013
Last Updated
May 23, 2013

Practice Location

Address
270 GOOSEPOND ROAD
Address 2
STE 102
City
Newark
State
Ohio
ZIP Code
43055
Phone
(740) 348-7945

Authorized Official

Name
CYNTHIA L. WEBSTER
Title
VP FINANCIAL SERVICE
Phone
(740) 348-4518

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - GynecologyGynecology

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