institution
Licking Memorial Professional Corporation
Plastic and Reconstructive Surgery Physician in Newark, Ohio
NPI 1831381706

Licking Memorial Professional Corporation is a Plastic and Reconstructive Surgery Physician based in Newark, OH and is specialized in Plastic and Reconstructive Surgery. Licking Memorial Professional Corporation practices in Newark, OH. The NPI Number for Licking Memorial Professional Corporation is 1831381706 and holds a License No. (Ohio).

The current practice location address for Licking Memorial Professional Corporation is 1272 W Main St, Newark, OH and can be reached out via phone at 740-348-7955 and via fax at 740-348-7956.

Location: 1272 W Main St, Newark, OH, 43055-2004
institution
Provider Profile Details
NPI Number
1831381706
Provider Name
Licking Memorial Professional Corporation
Credential
Provider Entity Type
Organization
Address
1272 W Main St, Newark, OH, 43055-2004
Phone Number
740-348-7955
Fax Number
740-348-7956
Provider Enumeration Date
08/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1272 W Main St
City
State
Zip
43055-2004
Phone Number
740-348-7955
Fax Number
740-348-7956
person
Provider Business Mailing Address Details
Address
1272 W Main St
City
State
Zip
43055-2004
Phone Number
740-348-7955
Fax Number
740-348-7956
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
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Definition
A surgeon who specializes in plastic and reconstructive surgery.
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