Individual
RANDOLPH ANTHONY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32957
MN
208600000X
Surgery Physician
MD60178868
WA
Other
Enumeration date
12/21/2005
Last updated
02/13/2014
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