Individual
MR. PAUL KEEFER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4190 E WOODMEN RD, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Mailing address
2142 DIAMOND CREEK DR, COLORADO SPRINGS, CO 80921-2986
(850) 855-7617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0003558
CO
Other
Enumeration date
12/08/2005
Last updated
12/30/2020
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