Organization · Type 2 NPI

Licking Memorial Professional Corp.

General Practice Physician · Newark, OH

NPI number 1154496503 Active

Practice location

2000 Tamarack Rd
Newark, OH 43055

Call (740) 348-1993 Map

Fax (740) 348-1994

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

15 other providers at this address

About NPI 1154496503

Licking Memorial Professional Corp.'s National Provider Identifier is 1154496503, issued on Nov 21, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Newark, OH. The record was last updated on Feb 18, 2013.