Individual
DR. GEORGE STEPHEN EDWARDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433
(937) 522-4784
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 522-4784
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0470289002
IN
208000000X
Pediatrics Physician
35.135392
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330974
—
OH
Enumeration date
06/10/2013
Last updated
05/13/2026
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