Blake Edwin Pedersen in Saint Louis - Anesthesiology
Blake Edwin Pedersen - NPI 1790994283
Blake Edwin Pedersen is a Anesthesiology in Saint Louis, Missouri. Blake Edwin Pedersen practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Blake Edwin Pedersen is 1790994283. The last update date is 2007-07-08.
Blake Edwin Pedersen's current location address is 6034 Mardel Ave, Saint Louis, Missouri. You can contact this provider via phone number 3148329583. The mailing address for Blake Edwin Pedersen is 6034 Mardel Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Edwin Pedersen |
|---|---|
| Address | 6034 Mardel Ave, Saint Louis, Missouri |
| Phone Number | 3148329583 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1790994283 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6034 Mardel Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631091350 |
| Phone Number | 3148329583 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 2007001632 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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What is the unique 10-digit identification code issued to Blake Edwin Pedersen by the Centers for Medicare & Medicaid Services?
The Blake Edwin Pedersen has been assigned the NPI (National Provider Identifier) 1790994283 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Blake Edwin Pedersen?
The Blake Edwin Pedersen is physically situated at 6034 Mardel Ave, in the city of Saint Louis, state of MO, with the postal code 631091350.
What is Blake Edwin Pedersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Blake Edwin Pedersen is Anesthesiology, and the corresponding taxonomy classification code for this specialized field is 207L00000X.
On what date did the Blake Edwin Pedersen receive its 1790994283 assignment from the Centers for Medicare & Medicaid Services?
The Blake Edwin Pedersen was assigned its 1790994283 by the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date was the information regarding Blake Edwin Pedersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Blake Edwin Pedersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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