Individual
JEFFREY ALLEN PEDERSON
Active
Individual
JEFFREY ALLEN PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
3976
IA
208100000X
Physical Medicine & Rehabilitation Physician
5101016420
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO-03976
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164196
HEALTH ALLIANCE
IA
01
—
500301
COVENTRY HEALTH CARE
IA
Enumeration date
04/06/2007
Last updated
06/29/2026
Update your record
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