Individual
TERESA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7878 N 16TH ST STE 250, PHOENIX, AZ 85020-4478
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
27258
AZ
207L00000X
Anesthesiology Physician
Primary
C55977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
617665
—
AZ
Enumeration date
01/27/2006
Last updated
04/13/2022
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