Licking Memorial Professional Corp
NPI #1255365102 in Johnstown, Ohio
Provider Information
- NPI Number
- 1255365102
- Entity Type
- Organization
- Organization Name
- Licking Memorial Professional Corp
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- ROBERT MONTAGNESE
- Title
- EXECUTIVE V.P
- Phone
- (740) 348-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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