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Organization

HARVEY L. EDMONDS, M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARVEY LAWRENCE EDMONDS M.D. (OWNER/PRESIDENT)
(559) 436-9800
Entity
Organization

Contact information

Practice address
728 E BALLARD AVENUE, SUITE 104, FRESNO, CA 93710
(559) 436-9800
(559) 436-9804
Mailing address
728 E BALLARD AVENUE, SUITE 104, FRESNO, CA 93710
(559) 436-9800
(559) 436-9804

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G24725
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G247250
MEDICAL PROV NO
01
4136936
MEDICAL UPIN
Enumeration date
03/06/2012
Last updated
03/06/2012
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