NPI 1780671909

Walter Jm Pedersen, MD

Practitioner Specialist St. Croix, VI

Practice location

Address: Sunny Isle Professional Building Suite 3-F, St. Croix, VI 00820-4423
Phone: (340) 778-6110
Fax: (340) 778-2919
Mailing address: PO Box 7840 Sunny Isle Professional Bldg, STE 3, St Croix, VI 00823-7840

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 653 (VI)

Other Specialist providers in U.S. Virgin Islands →

Registry record

NPI: 1780671909
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2005
Record last updated: 11 Dec 2007

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.