Pedersen, David Andrew
Pedersen, David Andrew is an individual health care provider with primary practice located at 1712 W Anklam Rd Ste 103, Tucson AZ 85745-2660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pedersen, David Andrew can be contacted via phone (520) 622-7384.Contact Information
Primary practice address
1712 W Anklam Rd Ste 103
Tucson AZ 85745-2660
Phone: (520) 622-7384
Fax: (520) 622-4899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23255 | Arizona |
Profile Details
| NPI number | 1972569200 |
|---|---|
| LBN Legal business name | Pedersen, David Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Nov 18th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972569200 | NPPES |
| Arizona | MEDICAID | 313099 |
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