Dekalb Memorial Hospital, INC

NPI #1346669546 in Hicksville, Ohio

Provider Information

NPI Number: 1346669546
Entity Type: Organization
Organization Name: Dekalb Memorial Hospital, INC
Primary Specialty: Otolaryngology
Enumeration Date: Apr 15, 2014
Last Updated: Apr 15, 2014

Practice Location

Address: 208 COLUMBUS ST
City: Hicksville
State: Ohio
ZIP Code: 43526-1250
Phone: (419) 542-6692

Authorized Official

Name: MS. PENNY LYNN GRIFFIN, CPC
Title: CREDENTIALING
Phone: (260) 920-2794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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