Individual
MR. BRUCE DANIEL EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 316-2680
Mailing address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 316-2680
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2305202896
VA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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