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Organization
MICHAEL EDWARDS, D.P.M., P.A. PODIATRIST
Active
Organization
MICHAEL EDWARDS, D.P.M., P.A. PODIATRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JACK EDWARDS D.P.M. (PRESIDENT)
(432) 934-4328
Entity
Organization
Contact information
Practice address
800 E 7TH ST, ODESSA, TX 79761-4612
(432) 332-1056
(866) 982-9030
Mailing address
800 E 7TH ST, ODESSA, TX 79761-4612
(432) 332-1056
(866) 982-9030
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1879
TX
Other
Enumeration date
08/18/2009
Last updated
08/13/2010
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