Individual
MR. DANIEL COLE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-7414
Mailing address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(720) 384-5974
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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