Doctor Name: | NANCY PEDERSON |
NPI Number: | 1093859308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 4172 |
Business Practice Address: | 6881 S Holly Circle Suite 207 Centennial, CO - 801121145 |
Business Phone Number: | 3032213600 |
Business Fax Number: | 7205290222 |
Mailing Address: | 20128 E Dartmouth Dr, AURORA |
State: | CO |
Postal Code: | 800138434 |
Phone Number: | 3032213600 |
Fax Number: | 7205290222 |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |