Individual
DR. STANLEY OWEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
19391
CO
207R00000X
Internal Medicine Physician
Primary
19391
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01193911
—
CO
01
—
ED30586
BCBS
CO
Enumeration date
03/27/2006
Last updated
04/09/2008
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