Individual
WESLEY DAVID PIDCOCK
Active
Individual
WESLEY DAVID PIDCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20A15369
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
O-1353
ID
207RP1001X
Pulmonary Disease Physician
DO198185
OR
207RP1001X
Pulmonary Disease Physician
Primary
O-1353
ID
Other
Enumeration date
04/05/2014
Last updated
11/25/2020
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