National Provider Identifier Database

PEDER J PEDERSEN, MD – NPI #1568558211
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

PEDER J PEDERSEN, MD
1250 E 3900 S
SUITE 360
SALT LAKE CITY, UT84124-1348
Phone: 801-263-3041
Fax: 801-263-8485
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for PEDER J PEDERSEN

NPI Number 1568558211
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 06/09/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 324585
  • UT Other: QM0000032802 ALTIUS
  • UT Other: 54206 PUBLIC EMPLOYEES
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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