OrganizationActive
Walter J M Pedersen Jr MD PC
NPI 1184808065 · Prosthetic/Orthotic Supplier · St Croix, VI
Provider details
- NPI number
- 1184808065
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Walter Pedersen, President(340) 778-6110
- License
- 653 (VI)
Specialties & taxonomies
Suppliers
Allopathic & Osteopathic Physicians
Practice location
Sunny Isle Prof Bldg
Suite 3f
St Croix, VI 00823-4423
Phone: (340) 778-6110
Fax: (340) 778-2919
Mailing address
Po Box 7840
Christiansted, VI 00823-7840
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2012-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.