Individual
TONYA IVANOV EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2451
(928) 214-2925
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006667
AZ
207R00000X
Internal Medicine Physician
5315055991
MI
208M00000X
Hospitalist Physician
Primary
006667
AZ
Other
Enumeration date
06/28/2012
Last updated
06/23/2020
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