Individual
WILLIAM H. EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6439
(559) 499-6441
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
18025
CA
363AM0700X
Medical Physician Assistant
18025
CA
363AS0400X
Surgical Physician Assistant
Primary
18025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA18025
—
CA
Enumeration date
10/20/2006
Last updated
08/27/2020
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