Fort Morgan Pediatric Clinic PC
Pediatrics in Maumee, OH. Organization (NPI-2).
NPI number1043496342
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1043496342
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Morgan Pediatric Clinic PC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2008
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 46228 | CO | Yes |
Practice location
3564 Deer Creek DrMaumee, OH 43537-8979
Phone 530-355-3775
Mailing address
3564 Deer Creek DrMaumee, OH 43537-8979
Phone 530-355-3775
Authorized official
Kehinde Obeto
President
2139263249
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