Individual
ROBERT M PEDEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-3075
(910) 907-6000
Mailing address
1423 PINE VALLEY LOOP, FAYETTEVILLE, NC 28305-5216
(910) 964-8203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
191894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052014
—
NC
Enumeration date
07/13/2005
Last updated
12/02/2022
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