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

Jim P Pederson, PA

Individual provider Medical Physician Assistant · NPI 1902829773

Jim P Pederson, PA is a Medical Physician Assistant in Rawlins, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.

Licensed in
WY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

606 23rd St
Rawlins, WY 82301-5127
Phone: (307) 324-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 083 (WY)

Record details

NPI number1902829773
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address606 23rd St, Rawlins, WY 82301-5127

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