Individual
MR. JAMES EDWARD EDMOND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
287 E HUNT HWY, SUITE 105, SAN TAN VALLEY, AZ 85143-5095
(480) 677-8282
(480) 677-8283
Mailing address
4600 S MILL AVE, STE 280, TEMPE, AZ 85282-6850
(480) 305-2888
(480) 305-2889
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
11580
MN
363AM0700X
Medical Physician Assistant
Primary
6653
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059048
NCCPA
MN
Enumeration date
07/24/2014
Last updated
04/05/2017
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