Individual
DR. JOHN MASON EDWARDS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO2686
NV
208M00000X
Hospitalist Physician
Primary
DO2686
NV
390200000X
Student in an Organized Health Care Education/Training Program
UO5016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720437908
—
FL
Enumeration date
06/08/2016
Last updated
06/01/2020
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