BLAKE EDWIN PEDERSEN

SAINT LOUIS, MO
NPI1790994283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: MO  2007001632)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
Dr. BLAKE EDWIN PEDERSEN D.O.
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-362-6978
Mailing Address
Dr. BLAKE EDWIN PEDERSEN D.O.
6034 MARDEL AVE
SAINT LOUIS, MO 63109-1350
Phone number: 314-832-9583
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