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Individual

DR. MATTHEW DAVID EDGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-1020
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-1020

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS17995
FL
2083A0100X
Aerospace Medicine Physician
OS17995
FL

Other

Enumeration date
06/15/2017
Last updated
05/31/2022
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