Individual
MARK ROBERT PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5939 HARRY HINES BLVD PROFESSIONAL BUILDING 2 SUITE 700, DALLAS, TX 75390-2612
(214) 645-1919
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
Q8601
TX
Other
Enumeration date
05/27/2013
Last updated
08/15/2019
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