Individual
DR. PEDRO LUIS CARDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 E CLARK BASS BLVD STE 1, MCALESTER, OK 74501-4234
(918) 421-6960
Mailing address
3 E CLARK BASS BLVD STE 1, MCALESTER, OK 74501-4234
(918) 421-6979
(918) 421-8990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084N0400X
Neurology Physician
Primary
21521
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084850A
—
OK
Enumeration date
05/15/2006
Last updated
09/23/2019
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