Individual provider · Type 1 NPI

Donald M. Pedersen, PA

Physician Assistant · Salt Lake City, UT

NPI number 1962592584 Active

Practice location

1138 Wilmington Ave
Salt Lake City, UT 84106-2819

Call (801) 581-2000 Map

Mailing address

PO Box 510004
Salt Lake City, UT 84151-0004

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X104325-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962592584

Donald M. Pedersen, PA's National Provider Identifier is 1962592584, issued on Oct 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.