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1366536740
JOHN R PEDERSON
ALBUQUERQUE, NM
NPI
1366536740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NM 20030477)
Enumeration Date
2006-10-03
Last Update Date
2008-07-16
Business Address
JOHN R PEDERSON MD
1100 CENTRAL AVE SE PMG PEDS HOSPITALISTS
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1063
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Mailing Address
JOHN R PEDERSON MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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