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Individual
DR. KEITH C. EDWARDS
Active
Individual
DR. KEITH C. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G33290
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G33290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G332900
BS OF CA
CA
05
—
1922117894
—
CA
Enumeration date
08/30/2006
Last updated
03/14/2013
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