Organization
EDGE MEDICAL SERVICES
Active
Parent organization
EDGE MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDGE MEDICAL SERVICES
Authorized official
KELLY GARRETT (ADMIN)
(800) 348-4623
Entity
Organization
Contact information
Practice address
5107 S 900 E STE 140, SALT LAKE CITY, UT 84117-6630
(800) 348-4623
Mailing address
1141 N LOOP 11604 E, 105187, SAN ANTONIO, TX 78232-1339
(800) 348-4623
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
04/15/2020
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