Individual
ERIK ANDREW PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 MERCY RD, ALEGENT BERGAN MERCY DEPT OF RADIOLOGY, OMAHA, NE 68124-2319
(402) 398-6193
(402) 398-5702
Mailing address
PO BOX 4460, OMAHA, NE 68104-0460
(866) 491-5807
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22241
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22241
NE MEDICAL LICENSE
NE
01
—
36667
IOWA MEDICAL LICENSE
IA
Enumeration date
06/19/2006
Last updated
03/07/2023
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