DR. Jack A Pedersen, D.C.

NPI #1164484895 in Colleyville, Texas

Provider Information

NPI Number: 1164484895
Entity Type: Individual
Name: DR. Jack A Pedersen, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 6, 2006
Last Updated: Jan 5, 2015

Practice Location

Address: 7155 COLLEYVILLE BLVD
Address 2: STE 103
City: Colleyville
State: Texas
ZIP Code: 76034-8003
Phone: (817) 251-7328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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