Individual
DR. JEREMIE RICHARD PEDERSON
Active
Individual
DR. JEREMIE RICHARD PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11280
TX
111NN1001X
Nutrition Chiropractor
Primary
11280
TX
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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