Individual
MR. ROBERT LEE EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
3450 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1351
(928) 499-3152
Mailing address
7769 N WINDING TRL, PRESCOTT VALLEY, AZ 86315-3095
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2999I
AZ
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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