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Individual

DR. JOHN NMN PEDROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CHIROPRACTOR

Contact information

Practice address
14429 ROUTE 30, N HUNTINGDON, PA 15642-1057
(412) 823-8090
(412) 829-1829
Mailing address
14429 ROUTE 30, N HUNTINGDON, PA 15642-1057
(412) 823-8090
(412) 829-1829

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH3608
FL
111N00000X
Chiropractor
Primary
DC001680L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25-1400613
TAX ID
PA
01
CH3608
LICENSE NUMBER
FL
01
DC001680L
LICENSE NUMBER
PA
Enumeration date
06/03/2007
Last updated
07/09/2007
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