Individual
CHRISTOPHER A PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
401 ROYALTON DR, LAS VEGAS, NV 89144-0824
(702) 289-4562
(877) 721-6912
Mailing address
401 ROYALTON DR, LAS VEGAS, NV 89144-0824
(702) 289-4562
(877) 721-6912
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
7546
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510737
—
NV
01
—
11656110
CAQH
NV
01
—
CC6493
BLUE CROSS
NV
Enumeration date
11/01/2006
Last updated
01/14/2016
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