| Licking Memorial Endocrinology | |
|
1272 W Main St Bldg 2 Ste 3 Newark OH 43055-2004 | |
| (740) 348-7950 | |
| (740) 348-7951 |
| Full Name | Licking Memorial Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1272 W Main St, Newark, Ohio |
| Authorized Official Name and Position | Cynthia L Webster (VP OF FINANCIAL SERVICES) |
| Authorized Official Contact | 7403484518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licking Memorial Endocrinology 1272 W Main St Bldg 2 Ste 3 Newark OH 43055-2004 Ph: (740) 348-7950 | Licking Memorial Endocrinology 1272 W Main St Bldg 2 Ste 3 Newark OH 43055-2004 Ph: (740) 348-7950 |
| NPI Number | 1073822938 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073822938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (NU) | Primary |
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