Dekalb Memorial Hospital, INC

NPI #1962804559 in Bryan, Ohio

Provider Information

NPI Number: 1962804559
Entity Type: Organization
Organization Name: Dekalb Memorial Hospital, INC
Primary Specialty: Otolaryngology
Enumeration Date: Sep 25, 2014
Last Updated: Sep 25, 2014

Practice Location

Address: 433 W HIGH STREET
City: Bryan
State: Ohio
ZIP Code: 43506-1679
Phone: (419) 636-1131

Authorized Official

Name: MS. PENNY LYNN GRIFFIN, CPC
Title: CREDENTIALING
Phone: (260) 333-7675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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