Individual
BRIAN R EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3536 KUHNE RD, OWENSVILLE, MO 65066
(573) 437-4168
(573) 437-4168
Mailing address
3536 KUHNE RD, CAPITAL REGION MEDICAL CLINIC OWENSVILLE, OWENSVILLE, MO 65066
(573) 437-4168
(573) 437-4242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003002799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189703
BLUE CROSS BLUE SHIELD
—
05
—
208842808
—
MO
01
—
2226070
FIRST HEALTH
—
01
—
440546366
UNITED HEALTHCARE
—
01
—
661032
HEALTHLINK
—
01
—
8129934001
CIGNA
—
01
—
I13420
MERCY
—
01
—
P00189427
RR MEDICARE
—
Enumeration date
03/09/2006
Last updated
06/15/2012
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