Individual
ERIC PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Mailing address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11317
NC
363A00000X
Physician Assistant
Primary
PA2021-0053
NM
Other
Enumeration date
06/10/2021
Last updated
07/31/2025
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