Dr. Edward Walter Pettyjohn is a San Antonio, Texas based male orthopedic surgeon who is specialized in Orthopaedic Surgery of the Spine. Active license number of Dr. Edward Walter Pettyjohn is S1430 for Orthopedic Surgery in Texas.
Dr. Edward Walter Pettyjohn deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Complete Profile:
Dr. Edward Walter Pettyjohn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopaedic Surgery of the Spine
Credentials:
M.D.
Gender:
Male
Practice Address:
5430 Fredericksburg Rd Ste 400, San Antonio, Texas, 78229-3539
Phone:
210-864-0827
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1801228630
NPI Enumeration Date:
03 Aug, 2013
NPI Last Update On:
16 Feb, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edward Walter Pettyjohn are as mentioned below.
License Number
Specialization
State
Status
S1430
Orthopedic Surgery
Texas
Primary
S1430
Orthopaedic Surgery of the Spine
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edward Walter Pettyjohn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
400888001
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8711 Village Dr Ste 114, San Antonio, Texas
Zip:
78217-5419
Phone Number:
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Fax Number:
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Patients can reach Dr. Edward Walter Pettyjohn at 5430 Fredericksburg Rd Ste 400, San Antonio, Texas or can call to book an appointment on 210-864-0827. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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