Individual
DR. WILLIAM THOMAS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS ROAD, BOISE, ID 83706
(208) 367-2121
(505) 820-5408
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5171
(505) 820-5408
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
M-12213
ID
207QA0505X
Adult Medicine Physician
MD2010-0534
NM
208M00000X
Hospitalist Physician
036.129296
IL
Other
Enumeration date
04/01/2008
Last updated
12/06/2013
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