Ent Central LLC

NPI #1316225618 in Mansfield, Ohio

Provider Information

NPI Number: 1316225618
Entity Type: Organization
Organization Name: Ent Central LLC
Primary Specialty: Otolaryngology
Enumeration Date: Aug 3, 2011
Last Updated: Dec 13, 2011

Practice Location

Address: 770 BALGREEN DR
Address 2: SUITE 209
City: Mansfield
State: Ohio
ZIP Code: 44906-4106
Phone: (419) 756-5500

Authorized Official

Name: MYKOLA O PRYKHODKO, M.D.
Title: OWNER/PRESIDENT
Phone: (419) 756-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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