Individual
SARAH ELIZABETH PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5301 FARAON ST, C, SAINT JOSEPH, MO 64506-3512
(816) 437-8122
(816) 407-9609
Mailing address
3107 FREDERICK AVE, SAINT JOSEPH, MO 64506-2956
(816) 935-9422
(816) 364-2575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2015034091
MO
Other
Enumeration date
10/01/2015
Last updated
04/03/2017
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