Promedica Central Physicians, LLC

NPI #1609172493 in Toledo, Ohio

Provider Information

NPI Number: 1609172493
Entity Type: Organization
Organization Name: Promedica Central Physicians, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jan 27, 2011
Last Updated: Jan 27, 2011

Practice Location

Address: 2142 N COVE BLVD
Address 2: 5-NORTH PEDS
City: Toledo
State: Ohio
ZIP Code: 43606-3895
Phone: (419) 291-4000

Authorized Official

Name: KENYA I. DIXON
Title: CREDENTIALING COORDINATOR
Phone: (419) 824-7288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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