Individual
THOMAS J PEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3937
(614) 566-5000
(614) 566-6958
Mailing address
PO BOX 182039, DEPT 086, COLUMBUS, OH 43218-2039
(614) 430-5712
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35051913
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118956
ANTHEM
—
05
—
0594156
—
OH
Enumeration date
06/22/2006
Last updated
08/21/2007
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