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Individual

DR. DAVID A PERDZOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 S CLEVELAND AVE, WESTERVILLE, OH 43081-8971
(614) 898-6659
(614) 898-8631
Mailing address
PO BOX 20452, COA-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35038578
OH
207V00000X
Obstetrics & Gynecology Physician
35038578
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0634228
OH
Enumeration date
07/19/2005
Last updated
10/13/2014
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