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Individual

DR. MARK J. EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
294 STATE HIGHWAY 7, SIDNEY, NY 13838-2716
(607) 563-7333
(607) 563-7333
Mailing address
428 COUNTY HIGHWAY 1, MOUNT UPTON, NY 13809-2103
(607) 563-9738

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005949
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C05949-5
COMPENSATION NUMBER
NY
Enumeration date
07/20/2006
Last updated
07/08/2007
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