Organization
JOHN B. EDWARDS, MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B EDWARDS MD (OWNER)
(559) 435-1800
Entity
Organization
Contact information
Practice address
5680 N FRESNO ST, SUITE 107, FRESNO, CA 93710-8331
(559) 435-1800
(559) 432-6435
Mailing address
5680 N FRESNO ST, SUITE 107, FRESNO, CA 93710-8331
(559) 435-1800
(559) 432-6435
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G38967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G389670
—
CA
Enumeration date
05/24/2007
Last updated
04/23/2015
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