Pediatric Health Group Psc
NPI #1891828604 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1891828604
- Entity Type
- Organization
- Organization Name
- Pediatric Health Group Psc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Apr 28, 2008
Practice Location
- Address
- 550 HOSPITAL DRIVE
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-1652
- Phone
- (270) 824-9898
Authorized Official
- Name
- DR. RENNAN MALAZARTE QUIJANO, MD
- Title
- PRESIDENT
- Phone
- (270) 824-9898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Clinic/Center |
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