Individual
DAVID PEDERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2200 BERGQUIST DR, STE. 1, LACKLAND A F B, TX 78236-9907
(210) 292-5438
Mailing address
7700 INGRAM RD, #502, SAN ANTONIO, TX 78251-1448
(210) 421-6376
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00002453
WA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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