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Individual

EDWARD JAMES EDMONDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HT, QIHC

Contact information

Practice address
4555 FOREST PARK AVE APT 118, SAINT LOUIS, MO 63108-2173
(605) 212-8905
Mailing address
4555 FOREST PARK AVE APT 118, SAINT LOUIS, MO 63108-2173
(605) 212-8905

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
06/30/2026
Last updated
06/30/2026
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