Individual
EDWARD EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 N SWAN RD, 130, TUCSON, AZ 85712-5601
(520) 323-6994
(520) 733-0787
Mailing address
2940 N SWAN RD, #130, TUCSON, AZ 85712
(520) 323-6994
(520) 733-0787
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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