IndividualActive
Alex Pederson, DO
NPI 1083143192 · Diagnostic Radiology Physician · Columbia, MO
Provider details
- NPI number
- 1083143192
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 2022037576 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
One Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 884-4082
Fax: (573) 884-6661
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 843966
Kansas City, MO 64184-3966
Registry dates
- Enumerated
- 2017-06-12
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.