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Individual

DR. AUTUMN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
215 PESETAS LN, SANTA BARBARA, CA 93110
(805) 563-6110
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A68564
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A78379
MEDICAL LICENSE
CA
Enumeration date
12/19/2006
Last updated
07/10/2023
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