Logan View Pediatrics

NPI #1487614152 in Bellefontaine, Ohio

Provider Information

NPI Number: 1487614152
Entity Type: Organization
Organization Name: Logan View Pediatrics
Subpart: Yes (part of a larger organization)
Parent Organization: LOGAN VIEW, INC.
Primary Specialty: Pediatrics
Enumeration Date: Mar 25, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 118 DOWELL AVE
City: Bellefontaine
State: Ohio
ZIP Code: 43311-2305
Phone: (937) 593-5437

Authorized Official

Name: TAMARA GUMP
Title: CHIEF OPERATING OFFICER
Phone: (937) 593-0245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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