Organization
DAVID J PEDIGO OD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J PEDIGO OD (PRESIDENT)
(425) 645-1548
Entity
Organization
Contact information
Practice address
1515 E TUDOR RD, STE 5, ANCHORAGE, AK 99507-1035
(425) 645-1548
(425) 328-1254
Mailing address
222 SW EVERETT MALL WAY, STE 11, EVERETT, WA 98204-2780
(425) 645-1548
(425) 328-1254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
277
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023246
—
AK
Enumeration date
01/17/2009
Last updated
11/07/2013
Update your record
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