Individual
BRANT PEDERSEN
Active
Individual
BRANT PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC-29419
CA
111NS0005X
Sports Physician Chiropractor
Primary
DC-29419
CA
Other
Enumeration date
06/13/2007
Last updated
07/09/2015
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