Organization
GILBERT ROAD FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C EDWARDS DO (PRESIDENT)
(480) 898-9686
Entity
Organization
Contact information
Practice address
643 N GILBERT RD, MESA, AZ 85203-6659
(480) 898-9686
(480) 898-1092
Mailing address
643 N GILBERT RD, MESA, AZ 85203-6659
(480) 898-9686
(480) 898-1092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1788
AZ
207R00000X
Internal Medicine Physician
26874
AZ
208000000X
Pediatrics Physician
26874
AZ
Other
Enumeration date
12/20/2006
Last updated
11/16/2007
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