Individual
DARRELL DEWAIN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4350 S NATIONAL AVE STE C200, SPRINGFIELD, MO 65810-2782
(417) 447-1000
(417) 447-6150
Mailing address
4350 S NATIONAL AVE STE C200, SPRINGFIELD, MO 65810-2782
(417) 447-1000
(417) 447-6150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018002812
MO
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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