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Walter J M Pedersen Jr Md Pc
Prosthetic/Orthotic Supplier in St Croix, N/A
NPI 1184808065

Walter J M Pedersen Jr Md Pc is a Prosthetic/Orthotic Supplier based in Christiansted, . Walter J M Pedersen Jr Md Pc practices in St Croix, . The NPI Number for Walter J M Pedersen Jr Md Pc is 1184808065 and holds a License No. 653 (N/A).

The current practice location address for Walter J M Pedersen Jr Md Pc is Sunny Isle Prof Bldg, St Croix, and can be reached out via phone at 340-778-6110 and via fax at 340-778-2919.

Location: Sunny Isle Prof Bldg, St Croix, , 00823-7840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184808065
Provider Name
Walter J M Pedersen Jr Md Pc
Credential
Provider Entity Type
Organization
Address
Sunny Isle Prof Bldg, St Croix, , 00823-7840
Phone Number
340-778-6110
Fax Number
340-778-2919
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VI000011 01 VI TRICARE
0500138 01 VI HUMANA
170823200 01 VI USDL
1780671909 01 VI NPI
53699PE 01 VI TRIPLE-S
089045 01 VI BCBSVI
1184808065 01 VI NPI
institution
Provider Business Practice Location Address Details
Address
Sunny Isle Prof Bldg
City
St Croix
State
Zip
00823-4423
Phone Number
340-778-6110
Fax Number
340-778-2919
person
Provider Business Mailing Address Details
Address
Sunny Isle Prof Bldg
City
St Croix
State
Zip
00823-4423
Phone Number
340-778-6110
Fax Number
340-778-2919
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
653 ()
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
653 ()
Definition
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.
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