Individual
DR. STANLEY OWEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7251 W 20TH ST, UNIT K, GREELEY, CO 80634-4625
(970) 353-4322
(970) 353-0190
Mailing address
7251 W 20TH ST, UNIT K, GREELEY, CO 80634-4625
(970) 353-4322
(970) 353-0190
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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