Organization
BERT PEDERZOL OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERT PEDERZOL O.D. (OWNER)
(330) 821-3045
Entity
Organization
Contact information
Practice address
1406 W MAIN ST, ALLIANCE, OH 44601-2154
(330) 821-3045
Mailing address
1406 W MAIN ST, ALLIANCE, OH 44601-2154
(330) 821-3045
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
11/01/2011
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