Organization
DR. RANDALL L. EDWARDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL L. EDWARDS OD (OPTOMETRIST/SELF)
(605) 341-6000
Entity
Organization
Contact information
Practice address
1605 EGLIN ST, STE. 2, RAPID CITY, SD 57701-6107
(605) 341-6000
(605) 341-6001
Mailing address
1605 EGLIN ST STE 2, RAPID CITY, SD 57701-6107
(605) 341-6000
(605) 341-6001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
466
SD
Other
Enumeration date
11/25/2008
Last updated
12/02/2009
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