| Licking Memorial Physician Wound Services | |
|
2000 Tamarack Rd Newark OH 43055 | |
| (740) 348-1993 | |
| (740) 348-1994 |
| Full Name | Licking Memorial Physician Wound Services |
|---|---|
| Speciality | General Practice |
| Location | 2000 Tamarack Rd, Newark, Ohio |
| Authorized Official Name and Position | Cynthia L. Webster (VP FINANCIAL SERVICE) |
| Authorized Official Contact | 7403484518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licking Memorial Physician Wound Services 2000 Tamarack Rd Newark OH 43055 Ph: (740) 348-1993 | Licking Memorial Physician Wound Services 2000 Tamarack Rd Newark OH 43055 Ph: (740) 348-1993 |
| NPI Number | 1154496503 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 02/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154496503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
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