Individual
DR. JASON MATTHEW EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
232 S WOODS MILL RD STE 110E, CHESTERFIELD, MO 63017
(314) 542-4998
(314) 542-4739
Mailing address
DEPARTMENT OF RADIATION MEDICINE 800 ROSE ST, ROOM CC003B, LEXINGTON, KY 40536-0293
(816) 824-9855
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2017011905
MO
2085R0001X
Radiation Oncology Physician
R2917
KY
Other
Enumeration date
05/11/2012
Last updated
06/29/2018
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