Individual
PERICO N.C. ARCEDO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2008-02092
NC
208100000X
Physical Medicine & Rehabilitation Physician
44811
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911450
—
NC
Enumeration date
08/24/2006
Last updated
02/17/2022
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