Individual
DR. TIMOTHY J EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1429 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-2171
(573) 334-8870
(573) 388-2310
Mailing address
2321 WINNERS CIRCLE ST, CAPE GIRARDEAU, MO 63701-1945
(573) 334-8870
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2006010967
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200980308
—
MO
Enumeration date
05/31/2006
Last updated
07/22/2010
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