Richland Pediatrics INC

NPI #1366443301 in Mansfield, Ohio

Provider Information

NPI Number: 1366443301
Entity Type: Organization
Organization Name: Richland Pediatrics INC
Primary Specialty: Pediatrics
Enumeration Date: Aug 1, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 120 STURGES AVE
Address 2: STE 1
City: Mansfield
State: Ohio
ZIP Code: 44903
Phone: (419) 522-5454

Authorized Official

Name: DR. CHANDRA R SHAKER, MDFAAP
Title: PRESIDENT
Phone: (419) 522-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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