Individual
DR. THEODORE DURNER EDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-5191
(619) 532-7575
Mailing address
3456 MOON FIELD DR, CARLSBAD, CA 92008-5542
(760) 729-2018
(760) 725-0117
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
036120197
IL
Other
Enumeration date
07/21/2005
Last updated
11/19/2024
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