Organization
RICK PIDALA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK PATRICK PIDALA DPM (OWNER)
(440) 439-8282
Entity
Organization
Contact information
Practice address
890 BROADWAY AVE, BEDFORD, OH 44146-3612
(440) 439-8282
(440) 439-7863
Mailing address
890 BROADWAY AVE, BEDFORD, OH 44146-3612
(440) 439-8282
(440) 439-7863
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.001964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444586
—
OH
Enumeration date
02/08/2008
Last updated
02/08/2008
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