Organization · Type 2 NPI
Walter J M Pedersen JR MD PC
Prosthetic/Orthotic Supplier · St. Croix, VI
Practice location
Sunny Isle Prof Bldg, Suite 3F
St. Croix, VI 00823-4423
Fax (340) 778-2919
Mailing address
PO Box 7840
Christiansted, VI 00823-7840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 653 (VI) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 653 (VI) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1184808065
Walter J M Pedersen JR MD PC's National Provider Identifier is 1184808065, issued on Dec 27, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in St. Croix, VI. The record was last updated on Jul 10, 2012.