| Doctor Name: | DR. TERENCE SCOTT PEDERSEN |
| NPI Number: | 1235213513 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM, FACFAS |
| License Number: | 172 |
| Business Practice Address: | 1000 W 4th St Ste 2 Yankton, SD - 570783700 |
| Business Phone Number: | 6056551200 |
| Business Fax Number: | 6056551210 |
| Mailing Address: | 1000 W 4th St, Ste 2 YANKTON |
| State: | SD |
| Postal Code: | 570783700 |
| Phone Number: | 6056551200 |
| Fax Number: | 6056551210 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 08/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |