Individual
DR. ERIC L PEDICINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1850 N CENTRAL AVE, SUITE1600, PHOENIX, AZ 85004-4527
(602) 262-8900
(602) 262-8890
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
005038
AZ
207L00000X
Anesthesiology Physician
036082979
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408868
—
AZ
01
—
P00862630
MEDICARE RAILROAD
—
Enumeration date
10/12/2006
Last updated
11/22/2010
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