Individual
ANDREW D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4017 DEVILS GLEN RD, STE 100, BETTENDORF, IA 52722-7221
(563) 332-6387
(563) 332-9197
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4190
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23803
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22557
WELLMARK HEALTH PLAN
IA
01
—
IA01N3
JOHN DEERE HEALTH PLAN
—
Enumeration date
10/07/2005
Last updated
04/19/2021
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