Individual
DR. GEORGE ROGER EDELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 E MCMURRAY BLVD, SUITE 144, CASA GRANDE, AZ 85122-5934
(520) 836-8644
(520) 836-2499
Mailing address
1653 E MCMURRAY BLVD STE 144, CASA GRANDE, AZ 85122-5934
(520) 836-8644
(520) 836-2499
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
30267
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707698
—
AZ
Enumeration date
06/13/2006
Last updated
07/21/2022
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