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Individual

EDWARD J. PICARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.S.

Contact information

Practice address
4000 JOHNSON RD FL 2, STEUBENVILLE, OH 43952-2364
(740) 266-5956
(740) 266-5957
Mailing address
101 E MINNESOTA ST, SUITE 220, RAPID CITY, SD 57701-7756
(605) 342-5573
(605) 341-2161

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2822
SD
208600000X
Surgery Physician
Primary
35.050753
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005993
BLUE CROSS BLUE SHIELD
SD
05
0392398
OH
05
7301243
SD
Enumeration date
10/17/2006
Last updated
06/02/2020
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