Individual provider · Type 1 NPI
Walter JM Pedersen Jr., MD
Specialist · St. Croix, VI
NPI number
1780671909
Active
Practice location
Sunny Isle Professional Building, Suite 3-F
St. Croix, VI 00820-4423
Fax (340) 778-2919
Mailing address
PO Box 7840, Sunny Isle Professional Bldg, Ste 3
St. Croix, VI 00823-7840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 653 (VI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1780671909
Walter JM Pedersen Jr., MD's National Provider Identifier is 1780671909, issued on Oct 3, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Croix, VI. The record was last updated on Dec 11, 2007.