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Individual

DALE EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(513) 672-3309
(513) 672-3323
Mailing address
PO BOX 639619, CINCINNATI, OH 45263-9619
(859) 655-8588

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34008029
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2451618
OH
Enumeration date
09/20/2005
Last updated
03/06/2019
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