Licking Memorial Professional Corporation
Licking Memorial Professional Corporation is a Dermatology Physician in Newark, Ohio. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1272 W Main St Bldg 2 Ste 2Newark, OH 43055
Phone: (740) 348-1760
Fax: (740) 348-1761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1457625758 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cynthia Webster — Vp Of Financial Services · (740) 348-4027 |
| Other names | Licking Memorial Dermatology |
| NPI enumerated | March 5, 2012 |
| Last updated in NPPES | March 5, 2012 |
| Mailing address | 1272 West Main Street Bldg 2 Ste. 2, Newark, OH 43055 |
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