Individual
DR. SCOTT BRIAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
01034800A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201011070
—
IN
Enumeration date
12/07/2010
Last updated
04/25/2014
Update your record
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