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Individual

DR. JOSEPH TERMINEL EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1011 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 499-3640
(760) 499-7229
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19400
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031815
MEDICARE
AZ
01
031881
MEDICARE
01
031916
MEDICARE
AZ
05
176835
AZ
01
Z165308
MEDICARE
AZ
01
ZFQ31815
MEDICARE
Enumeration date
01/06/2006
Last updated
05/17/2021
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