Jim P Pederson, PA

NPI #1902829773 in Rawlins, Wyoming

Provider Information

NPI Number
1902829773
Entity Type
Individual
Name
Jim P Pederson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jul 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
606 23RD ST
State
Wyoming
ZIP Code
82301-5127
Phone
(307) 324-6002

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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