Individual
THOMAS C EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
334 W 10TH PL, STE 100, MESA, AZ 85201-3497
(480) 834-0771
(480) 834-1136
Mailing address
334 W 10TH PL, STE 100, MESA, AZ 85201-3497
(480) 834-0771
(480) 834-1136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1788
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256794
—
AZ
Enumeration date
12/20/2006
Last updated
12/01/2011
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