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Organization

G.P.EDWARDS M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE KEITH EDWARDS M.D. (OWNER)
(310) 449-1188
Entity
Organization

Contact information

Practice address
1328 22ND ST, SANTA MONICA, CA 90404-2032
(310) 449-1188
Mailing address
1328 22ND ST, SANTA MONICA, CA 90404-2032
(949) 263-8620
(949) 263-1639

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary

Other

Enumeration date
03/29/2007
Last updated
08/14/2007
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