Individual
JOHN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 N. FRESNO ST., 370, FRESNO, CA 93701
(559) 459-2327
(559) 459-1539
Mailing address
1840 SHAW AVE, STE 105, CLOVIS, CA 93611-4002
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G38967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G389670
—
CA
Enumeration date
07/18/2006
Last updated
08/09/2022
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