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Individual
BRIAN R EDWARDS
Active
Individual
BRIAN R EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003002799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189703
BLUE CROSS BLUE SHIELD
—
05
—
208842808
—
MO
01
—
2226070
FIRST HEALTH
—
01
—
440546366
UNITED HEALTHCARE
—
01
—
661032
HEALTHLINK
—
01
—
8129934001
CIGNA
—
01
—
I13420
MERCY
—
01
—
P00189427
RR MEDICARE
—
Enumeration date
03/09/2006
Last updated
06/15/2012
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