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Individual

CHARLES CHRISTOPHER EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4315 DIPLOMACY DRIVE, ANCHORAGE, AK 99508-5926
(907) 729-1500
(907) 729-2082
Mailing address
4315 DIPLOMACY DRIVE, ANCHORAGE, AK 99508-5926
(907) 729-1500
(907) 729-2082

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5109
AK
213E00000X
Podiatrist
Primary
5109
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PD26281
AK
Enumeration date
06/08/2006
Last updated
08/24/2011
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