Individual
HARVEY LAWRENCE EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
728 E BULLARD AVENUE, SUITE 104, FRESNO, CA 93710
(559) 436-9800
(559) 436-9804
Mailing address
728 E BULLARD AVENUE, SUITE 104, FRESNO, CA 93710
(559) 436-9800
(559) 436-9804
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G24725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G247250
MEDICAL PROV NO
CA
01
—
4136936
MEDICAL UPIN
CA
Enumeration date
10/20/2006
Last updated
07/08/2007
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