Individual
DAVID A EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15708 POMERADO RD, SUITE N 202, POWAY, CA 92064-2066
(858) 485-5600
(858) 485-5692
Mailing address
15708 POMERADO RD, SUITE N 202, POWAY, CA 92064-2066
(858) 485-5600
(858) 485-5692
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
C33181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180025388
RAILROAD MEDICARE PTAN
CA
Enumeration date
08/02/2006
Last updated
06/27/2008
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