Individual
AUGUSTUS ALBERT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 PARKSIDE DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6340
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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