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Individual
RICHARD G EDISON
Active
Individual
RICHARD G EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004152
WA
363A00000X
Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017094
—
WA
05
—
1710096458
—
WA
01
—
219156
L&I
WA
01
—
315750
L&I POST 7/21/13
WA
01
—
8944040
CV
WA
01
—
P01256590
RR MEDICARE
WA
Enumeration date
08/29/2006
Last updated
11/14/2025
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