Promedica Central Physician, LLC

NPI #1790826535 in Toledo, Ohio

Provider Information

NPI Number: 1790826535
Entity Type: Organization
Organization Name: Promedica Central Physician, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Feb 12, 2007
Last Updated: Feb 18, 2008

Practice Location

Address: 3740 W SYLVANIA AVE
Address 2: SUITE 103
City: Toledo
State: Ohio
ZIP Code: 43623-4461
Phone: (419) 473-6622

Authorized Official

Name: KENYA DIXON
Title: CREDENTIALING ASSISTANT
Phone: (419) 824-7288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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