Individual
DR. PATRICK EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 E 5TH ST, COQUILLE, OR 97423
(541) 396-3111
(806) 828-5824
Mailing address
940 E 5TH ST, COQUILLE, OR 97423
(806) 828-6577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G5016
TX
207Q00000X
Family Medicine Physician
Primary
MD184477
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500738203
—
OR
Enumeration date
03/23/2006
Last updated
07/18/2022
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