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Individual

DR. DEANNA L EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8901 W DODGE RD, OMAHA, NE 68114-3321
(402) 354-8600
(402) 354-8965
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20510
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851406912
IA
05
47068731798
NE
Enumeration date
08/20/2006
Last updated
12/19/2013
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