# DR. PAMELA CAROL PEDERSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194908004
- **Gender:** F
- **Credential:** M.D,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 042-0009670 | VT | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 10/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0VN1889 | — | VT |