Peder J Pedersen in Salt Lake City - Gastroenterology

Peder J Pedersen - NPI 1568558211

Peder J Pedersen is a Gastroenterology in Salt Lake City, Utah. Peder J Pedersen practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Peder J Pedersen is 1568558211. The last update date is 2015-06-09.

Peder J Pedersen's current location address is 1250 E 3900 S, Salt Lake City, Utah. You can contact this provider via phone number 8012633041 and fax number 8012638485. The mailing address for Peder J Pedersen is 1250 E 3900 S, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Peder J Pedersen
Address 1250 E 3900 S, Salt Lake City, Utah
Phone Number 8012633041
Fax Number 8012638485
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1568558211
Provider Enumeration Date 2006-10-04
Last Updated Date 2015-06-09

Provider Mailing Address Detail

Address 1250 E 3900 S
City Salt Lake City
State Utah (UT)
Post Code 841241348
Phone Number 8012633041
Fax Number 8012638485

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 324585
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
QM0000032802 UT ALTIUS
54206 UT PUBLIC EMPLOYEES

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FAQs about Peder J Pedersen

What is the unique identifier code issued to Peder J Pedersen by the Centers for Medicare & Medicaid Services?

The Peder J Pedersen has been assigned the NPI (National Provider Identifier) 1568558211. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Peder J Pedersen's physical address?

The Peder J Pedersen is physically located at 1250 E 3900 S, in the city of Salt Lake City, UT, with the postal code 841241348.

What is the Peder J Pedersen's specialty and taxonomy code?

The Peder J Pedersen's specialty is Gastroenterology, and the corresponding taxonomy code is 207Rg0100X.

When did Peder J Pedersen receive its 1568558211 assignment?

The Peder J Pedersen was assigned its 1568558211 on 2006-10-04, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Peder J Pedersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Peder J Pedersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-06-09.

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