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An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery |
| NPI Number | 1184808065 |
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| LBN Legal business name | WALTER J M PEDERSEN JR MD PC | ||||||||||||||||||||||||||||||||
| Authorized official | WALTER PEDERSEN - (PRESIDENT) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||
| Enumeration date | 12/27/2007 | ||||||||||||||||||||||||||||||||
| Last updated | 07/10/2012 - About 14 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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WALTER J M PEDERSEN JR MD PC