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Ryan D Pederson, DPM
Foot & Ankle Surgery Podiatrist in Coos Bay, Oregon
NPI 1063605384

Ryan D Pederson is a Foot & Ankle Surgery Podiatrist based in Coos Bay, OR and is specialized in Foot & Ankle Surgery. Ryan D Pederson practices in Coos Bay, OR and has the professional credentials of DPM. The NPI Number for Ryan D Pederson is 1063605384 and holds a License No. DP151127 (Oregon).

The current practice location address for Ryan D Pederson is 1900 Woodland Dr, Coos Bay, OR and can be reached out via phone at 541-267-5151 and via fax at 541-266-4506.

Location: 1900 Woodland Dr, Coos Bay, OR, 97420-2099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063605384
Provider Name
Ryan D Pederson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1900 Woodland Dr, Coos Bay, OR, 97420-2099
Phone Number
541-267-5151
Fax Number
541-266-4506
Provider Enumeration Date
08/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500623170 05 OR
institution
Provider Business Practice Location Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2099
Phone Number
541-267-5151
Fax Number
541-266-4506
person
Provider Business Mailing Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2099
Phone Number
541-267-5151
Fax Number
541-266-4506
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
DP151127 (Oregon)
Definition
Definition to come...
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