Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALTER JM PEDERSEN JR., MD
Active Sole ProprietorSpecialist · ST. CROIX, VI
Registration Details
- NPI Number
- 1780671909
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2005 (20.548932055838 yrs)
- Last Updated
- Dec 11, 2007
- License
-
653 (VI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
SUNNY ISLE PROFESSIONAL BUILDINGSUITE 3-FST. CROIX, VI, 008204423Browse VI providers · Browse ZIP 00820
- Phone
- 3407786110
- Fax
- 3407782919
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.