Individual
EDWARD EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
19656
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD19656
MEDICARE ID
AZ
Enumeration date
04/18/2006
Last updated
06/16/2021
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