Individual
DR. MARC D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5102 W CAMPBELL AVE, MARYVALE HOSPITAL EMERGENCY DEPARTMENT, PHOENIX, AZ 85031-1703
(623) 848-5204
Mailing address
5102 W CAMPBELL AVE, MARYVALE HOSPITAL EMERGENCY DEPARTMENT, PHOENIX, AZ 85031-1703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
005625
AZ
207P00000X
Emergency Medicine Physician
OT011842
PA
207Q00000X
Family Medicine Physician
OT011842
PA
Other
Enumeration date
01/23/2008
Last updated
06/04/2014
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