Individual
MARTHA G EDWARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11000 E 45TH AVE, DENVER, CO 80239-3004
(303) 338-4545
Mailing address
11000 E 45TH AVE, DENVER, CO 80239-3004
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
27540
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007638
KAISER-COMMERCIAL NUMBER
—
05
—
01275403
—
CO
Enumeration date
02/16/2007
Last updated
02/25/2011
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