Individual
EDGAR S UNDERWOOD
Active
Individual
EDGAR S UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00008292
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938902
—
AL
01
—
051536231
BLUE CROSS
AL
01
—
051536232
BLUE CROSS
AL
01
—
051536233
BLUE CROSS
AL
05
—
06479807
—
MS
Enumeration date
06/15/2005
Last updated
12/23/2011
Update your record
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