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Individual
EDWARD K MADSEN
Active
Individual
EDWARD K MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PC
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1612038905
UT
305R00000X
Preferred Provider Organization
Primary
1612038905
UT
Other
Enumeration date
03/28/2006
Last updated
07/14/2026
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