Individual
DANIEL JOSEPH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
807 S MISSION CIR, SPRINGFIELD, MO 65809-1348
(417) 831-2122
Mailing address
807 S MISSION CIR, SPRINGFIELD, MO 65809-1348
(417) 831-2122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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