Pederson, Robert W

Pederson, Robert W is an sole proprietor health care provider with primary practice located at 207 E Buena Vista St , Santa Fe NM 87505-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Pederson, Robert W can be contacted via phone (512) 970-3666.

Contact Information

Primary practice address
207 E Buena Vista St Santa Fe NM 87505-2621
Phone: (512) 970-3666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E1920 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X E1920 Texas

Profile Details

NPI number 1710987813
LBN Legal business name Pederson, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Dec 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710987813 NPPES
Other B25426 UPIN
MEDICAID 1341851-03 UPIN

Popular Providers