The Pediatric Healthcare Center LLC

NPI #1609837038 in St Marys, Ohio

Provider Information

NPI Number: 1609837038
Entity Type: Organization
Organization Name: The Pediatric Healthcare Center LLC
Primary Specialty: Pediatrics
Enumeration Date: Mar 28, 2006
Last Updated: Mar 28, 2012

Practice Location

Address: 1010 HAGER ST
City: St Marys
State: Ohio
ZIP Code: 45885
Phone: (419) 394-2610

Authorized Official

Name: CHERYL KUCK, MD
Title: PHYSICIAN/OWNER
Phone: (419) 394-2610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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