Anita M Pedersen in Tripler Army Medical - Pediatric Endocrinology

Anita M Pedersen - NPI 1710947965

Anita M Pedersen is a Pediatric Endocrinology in Tripler Army Medical, Hawaii. Anita M Pedersen practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Anita M Pedersen is 1710947965. The last update date is 2017-10-04.

Anita M Pedersen's current location address is 1 Jarrett White Rd, Tripler Army Medical, Hawaii. You can contact this provider via phone number 8084336407 and fax number 8084334837. The mailing address for Anita M Pedersen is 1 Jarrett White Rd, Tripler Army Medical, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Anita M Pedersen
Address 1 Jarrett White Rd, Tripler Army Medical, Hawaii
Phone Number 8084336407
Fax Number 8084334837
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710947965
Provider Enumeration Date 2006-03-23
Last Updated Date 2017-10-04

Provider Mailing Address Detail

Address 1 Jarrett White Rd
City Tripler Army Medical
State Hawaii (HI)
Post Code 96859
Phone Number 8084336407
Fax Number 8084334837

Provider's Primary Taxonomy Detail

Speciality Pediatric Endocrinology
Taxonomy 2080P0205X
Licence No MD-16097
Definition:
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD-16097 HI MEDICAL LICENSE

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FAQs about Anita M Pedersen

What is the Anita M Pedersen's 1710947965?

The Anita M Pedersen's NPI (National Provider Identifier) Number is 1710947965. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Anita M Pedersen?

The Anita M Pedersen is physically situated at 1 Jarrett White Rd, in the city of Tripler Army Medical, state of HI, with the postal code 96859.

What is the Anita M Pedersen's specialty and taxonomy code?

The Anita M Pedersen's specialty is Pediatric Endocrinology, and the corresponding taxonomy code is 2080P0205X.

On what date did the Centers for Medicare & Medicaid Services assign the 1710947965 to Anita M Pedersen?

The Centers for Medicare & Medicaid Services assigned the 1710947965 to Anita M Pedersen on 2006-03-23.

As of what date was the information pertaining to Anita M Pedersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Anita M Pedersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-10-04.

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