Organization
FORT MOHAVE EMERGENCY MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRV EDWARDS M.D. (PRESIDENT)
(310) 379-2134
Entity
Organization
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-2273
Mailing address
111 N SEPULVEDA BLVD, SUITE 210, MANHATTAN BEACH, CA 90266-6861
(310) 379-2134
(310) 379-4856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003651
—
AZ
Enumeration date
02/25/2015
Last updated
06/08/2015
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