Organization
PEDERSON CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN S PEDERSON DC (PRESIDENT)
(701) 838-8000
Entity
Organization
Contact information
Practice address
720 20TH AVE SW, MINOT, ND 58701-6441
(701) 838-8000
(701) 838-8444
Mailing address
720 20TH AVE SW, MINOT, ND 58701-6441
(701) 838-8000
(701) 838-8444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
623
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10644
—
ND
01
—
U62500
UPIN
ND
Enumeration date
03/19/2008
Last updated
03/19/2008
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