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Individual

DR. ANTHONY MICHAEL PEDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD, ECIS

Contact information

Practice address
15 GLENGARY DR, DELAWARE, OH 43015-7615
(614) 365-0342
Mailing address
15 GLENGARY DR, DELAWARE, OH 43015-7615
(614) 365-0342

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
172A00000X
Driver
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
07/05/2023
Last updated
07/05/2023
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