Organization
MICHAEL EDWARDS, D.P.M., P.A. PODIATRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JACK EDWARDS D.P.M. (PRESIDENT)
(432) 934-4328
Entity
Organization
Contact information
Practice address
800 E 7TH ST, ODESSA, TX 79761-4612
(432) 332-1056
(866) 982-9030
Mailing address
800 E 7TH ST, ODESSA, TX 79761-4612
(432) 332-1056
(866) 982-9030
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1879
TX
Other
Enumeration date
08/18/2009
Last updated
08/13/2010
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