William R Pedersen, OD

NPI #1568461564 in Maryville, Tennessee

Provider Information

NPI Number: 1568461564
Entity Type: Individual
Name: William R Pedersen, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 20, 2005
Last Updated: Sep 15, 2014

Practice Location

Address: 730 W LAMAR ALEXANDER PKWY
City: Maryville
State: Tennessee
ZIP Code: 37801-3900
Phone: (865) 982-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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