Individual provider · Type 1 NPI
Ryan D. Pederson, D.P.M.
Foot & Ankle Surgery Podiatrist · Coos Bay, OR
NPI number
1063605384
Active
Practice location
1900 Woodland Dr
Coos Bay, OR 97420-2099
Fax (541) 266-4506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | DP151127 (OR) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1063605384
Ryan D. Pederson, D.P.M.'s National Provider Identifier is 1063605384, issued on Aug 21, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Coos Bay, OR. The record was last updated on Mar 30, 2020.