Individual
MR. JOHN T EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ST
Contact information
Practice address
14506 W GRANITE VALLEY DR, SUITE 205, SUN CITY WEST, AZ 85375-6010
(623) 584-5626
(623) 584-8998
Mailing address
14506 W GRANITE VALLEY DR, SUITE 205, SUN CITY WEST, AZ 85375-6010
(623) 584-5626
(623) 584-8998
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
PTR1913
AZ
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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