Plain City Pediatrics LLC

NPI #1285903880 in Plain City, Ohio

Provider Information

NPI Number: 1285903880
Entity Type: Organization
Organization Name: Plain City Pediatrics LLC
Primary Specialty: Pediatrics
Enumeration Date: Dec 28, 2011
Last Updated: Dec 28, 2011

Practice Location

Address: 480 S JEFFERSON AVE STE 400
City: Plain City
State: Ohio
ZIP Code: 43064-4137
Phone: (614) 570-3598

Authorized Official

Name: DR. ALICIA DANIELLE FENN, MD
Title: PEDIATRICIAN
Phone: (614) 570-3598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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