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Jim Pederson, PA
NPI 1902829773 · on the registry since 2006
Practice
- Address
- 606 23rd St
Rawlins, WY 82301 - Phone
- (307) 324-6002
- Organisation at this address
- S48wy4, Llc
S48wy4, Llc
S48wy4, Llc
Wyoming Recovery Rawlins
Rawlins Urgent Care, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming