Individual
CLAIRE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, STE 2200, LOVELAND, CO 80538-9004
(970) 203-7520
(970) 203-7256
Mailing address
2500 ROCKY MOUNTAIN AVE, STE 2200, LOVELAND, CO 80538-9004
(970) 203-7520
(970) 203-7256
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
94-07367
KS
208600000X
Surgery Physician
DR.0057100
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CO
Enumeration date
05/17/2010
Last updated
06/27/2016
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