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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY DUANE PEDERSON

Active Sole Proprietor

GARY DUANE PEDERSON is a Podiatric Surgery healthcare provider located in CLEVELAND, Tennessee. NPI 1215581913 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · CLEVELAND, TN

Registration Details

NPI Number
1215581913
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2019 (7.0647241774469 yrs)
Last Updated
Jul 31, 2019
Sole Proprietor
Yes

Practice Information

Address
111 DEER TRL NW
CLEVELAND, TN, 373121110
Browse TN providers · Browse ZIP 37312
Phone
4233310501
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in CLEVELAND, TN

Name Credential NPI
KAREN KAY PEDERSON 1962056689
BRITTANI P MUNCK 1902456114
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.