Pedersen, Codey Todd

Pedersen, Codey Todd is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pedersen, Codey Todd can be contacted via phone (928) 779-3366.

Contact Information

Primary practice address
1200 N Beaver St Flagstaff AZ 86001
Phone: (928) 779-3366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 010550 Arizona

Profile Details

NPI number 1306308218
LBN Legal business name Pedersen, Codey Todd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2019
Last updated Jul 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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