Individual
ALEXANDER DAVID PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 S 3RD ST, DEPT OF PATHOLOGY, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 222-4630
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 206-1767
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-124938
IL
Other
Enumeration date
08/24/2006
Last updated
04/16/2012
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