Individual
DR. DONALD G EDGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2627 JACKSON ST, ALEXANDRIA, LA 71301-5240
(318) 445-5485
Mailing address
2627 JACKSON ST, ALEXANDRIA, LA 71301-5240
(318) 445-5485
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.009296
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD.009296
MEDICAL LICENSE
LA
Enumeration date
07/15/2009
Last updated
07/15/2009
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