Individual
MR. ALAN W EDWARDS
Active
Individual
MR. ALAN W EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101026338
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003055
BCBS
—
05
—
6070051
—
VA
Enumeration date
08/31/2006
Last updated
06/06/2019
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