Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Edward Walter Pettyjohn, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1801228630

Dr. Edward Walter Pettyjohn, MD is an Orthopaedic Surgery of the Spine Physician in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9110 N Loop 1604 W Ste 104
San Antonio, TX 78249-3397
Phone: (210) 802-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence S1430 (TX)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence S1430 (TX)

Record details

NPI number1801228630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 3, 2013
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

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