Individual
EDWIN CADY PECK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5111
(626) 397-5111
Mailing address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A140979
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/06/2015
Last updated
04/19/2021
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