Individual
GABRIEL P EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Mailing address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MED-PHYS-LIC-129822
MT
2085R0204X
Vascular & Interventional Radiology Physician
13480A
WY
2085R0204X
Vascular & Interventional Radiology Physician
33359
NE
2085R0204X
Vascular & Interventional Radiology Physician
DR.0065827
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MED-PHYS-LIC-129822
MT
Other
Enumeration date
04/24/2012
Last updated
01/12/2024
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