Organization
CHARLES F EDDINGFIELD MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F EDDINGFIELD MD (OWNER)
(319) 524-7777
Entity
Organization
Contact information
Practice address
1610 MORGAN STREET, KEOKUK, IA 52632
(319) 524-7777
(319) 524-7782
Mailing address
1610 MORGAN STREET, KEOKUK, IA 52632
(319) 524-7777
(319) 524-7782
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18836
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089458
—
IA
Enumeration date
10/18/2006
Last updated
08/22/2020
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