Individual
ERIC PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
502 E MONROE ST, RAPID CITY, SD 57701-1400
(605) 755-4060
(605) 755-4012
Mailing address
502 E MONROE ST, RAPID CITY, SD 57701-1400
(605) 755-4060
(605) 755-4012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12132
SD
Other
Enumeration date
05/31/2017
Last updated
10/07/2020
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