Individual
DR. ROGER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
956 N EISENHOWER DR, BECKLEY, WV 25801-3114
(681) 238-5258
(681) 238-5700
Mailing address
956 N EISENHOWER DR, BECKLEY, WV 25801-3114
(681) 238-5258
(681) 238-5700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
993
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718049
WV BCBS
WV
05
—
0041038000
—
WV
01
—
1053516
WV DWC
WV
Enumeration date
12/30/2005
Last updated
05/16/2019
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