Individual
DR. TERENCE SCOTT PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, FACFAS
Contact information
Practice address
1000 W 4TH ST, STE 2, YANKTON, SD 57078-3700
(605) 655-1200
(605) 655-1210
Mailing address
1000 W 4TH ST, STE 2, YANKTON, SD 57078-3700
(605) 655-1200
(605) 655-1210
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
172
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025775000
—
NE
01
—
480033885
RAILROAD MEDICARE
SD
05
—
6800553
—
SD
Enumeration date
10/24/2006
Last updated
08/05/2010
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