Individual
DEREK JOHN PIDGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
400 BOWMAN ST, MANSFIELD, OH 44903-1235
(419) 525-3525
Mailing address
2952 ECKERT RD, MANSFIELD, OH 44904-8676
(567) 303-8731
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
103
OH
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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