Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Andrew Pedersen, MD

Individual provider Surgery Physician · NPI 1972569200

David Andrew Pedersen, MD is a General Surgery in Tucson, Arizona. Graduated from University of Arizona College of Medicine in 1990, 36 years ago. Practices with Tucson Physician Group Holdings LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
36
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1712 W Anklam Rd Ste 103
Tucson, AZ 85745-2660
Phone: (520) 622-7384
Fax: (520) 622-4899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 23255 (AZ)

Record details

NPI number1972569200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022
Mailing address1712 W Anklam Rd, Ste 103, Tucson, AZ 85745-2660

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Tucson Physician Group Holdings Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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