Organization
RONALD PEDALINO DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JOSEPH PEDALINO DO (PRESIDENT)
(937) 382-4564
Entity
Organization
Contact information
Practice address
7134 COPPERWOOD CT, SPRINGBORO, OH 45066-8169
(937) 725-6640
Mailing address
7134 COPPERWOOD CT, SPRINGBORO, OH 45066-8169
(937) 725-6640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34003101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448519
—
OH
Enumeration date
01/25/2007
Last updated
12/03/2013
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