Individual
DR. BRADLEY M PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
630 E 8TH ST, PORT ANGELES, WA 98362-6224
(360) 457-1772
(360) 457-9320
Mailing address
630 E 8TH ST, PORT ANGELES, WA 98362-6224
(360) 457-1772
(360) 457-9320
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PPO00000462
WA
Other
Enumeration date
10/04/2006
Last updated
07/30/2008
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