Individual
DR. ALAN EVERT EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 PINE ST, RENOVO, PA 17764-1620
(570) 923-1019
Mailing address
5700 DARROW ROAD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-5911
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35 062409E
OH
207Q00000X
Family Medicine Physician
35062409E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0908165
—
OH
Enumeration date
12/13/2005
Last updated
05/24/2023
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