Individual provider · Type 1 NPI
Jim P. Pederson, PA
Medical Physician Assistant · Rawlins, WY
NPI number
1902829773
Active
Practice location
606 23rd St
Rawlins, WY 82301-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 083 (WY) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Rawlins
About NPI 1902829773
Jim P. Pederson, PA's National Provider Identifier is 1902829773, issued on Jul 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rawlins, WY. The record was last updated on Jul 8, 2007.