Individual
EDWARD B. BALDWIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN:MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-8246
Mailing address
95-203 HALOKU PL, MILILANI, HI 96789-4982
(808) 433-8246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003377
VA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/23/2006
Last updated
11/18/2021
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