NPI 1184808065

Walter J M Pedersen Jr MD PC

Organisation Prosthetic/Orthotic Supplier St Croix, VI

Practice location

Address: Sunny Isle Prof Bldg Suite 3f, St Croix, VI 00823-4423
Phone: (340) 778-6110
Fax: (340) 778-2919
Mailing address: PO Box 7840, Christiansted, VI 00823-7840

Authorised official

Name: Walter J M Pedersen
Title: President
Phone: (340) 778-6110

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 653 (VI)

Other Prosthetic/Orthotic Supplier providers in U.S. Virgin Islands →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 653 (VI)

Other Orthopaedic Surgery providers in U.S. Virgin Islands →

Registry record

NPI: 1184808065
Entity type: Organization
NPI issued: 27 Dec 2007
Record last updated: 10 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.