Individual
DR. EDWARD ALLEN PUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 289-5454
(626) 457-7172
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G24667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G246670
BLUE SHIELD
CA
05
—
00G246670
—
CA
Enumeration date
07/27/2006
Last updated
07/14/2014
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