Pediatric Academic Association, Inc.

NPI 1063419943 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1063419943
Enumeration Date 07/07/2005
Last Updated 01/05/2016
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JOHN A JOHN
Position TRUSTEE AND CHAIRMAN
Phone (614) 722-4579
Fax (614) 722-4565
Practice Location
700 CHILDRENS DR
COLUMBUS OH, 43205-2664, US
Phone (614) 722-4579
Fax (614) 722-4565
Business Location
700 CHILDRENS DR
COLUMBUS OH, 43205-2664, US
Phone (614) 722-4579
Fax (614) 722-4565
Toxanomy
Taxonomy Code 363LP0200X
License State Ohio
License Number =========
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According to our database, Pediatric Academic Association, Inc. NPI is 1063419943, taxonomy code is 363LP0200X and license number is =========, license state is located at Ohio. Pediatric Academic Association, Inc. physically located at 700 Childrens Dr, Columbus OH, 43205-2664. NPI Number 1033115704 has the healthcare provider type.

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1063419943 NPI number is provided on an as is basis without warranty of any kind. 1063419943 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Academic Association, Inc. are for informational purposes only.