Individual
DANIEL OLIVER PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-4800
(541) 706-4806
Mailing address
1801 COLORADO AVE STE 120, TURLOCK, CA 95382-2711
(209) 216-3456
(209) 216-3462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A17049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316963721
PRIVATE
CA
Enumeration date
04/09/2009
Last updated
12/03/2024
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