Individual
MR. SIMON LOUIS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-2525
Mailing address
126 N GREELEY AVE, JOHNSTOWN, CO 80534-8516
(970) 587-8794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
914
CO
Other
Enumeration date
05/08/2006
Last updated
11/09/2007
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