Individual
DR. RANDALL SCOTT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
550 W VIRGINIA ST, EVANSVILLE, IN 47710-1614
(812) 425-5194
(812) 426-9984
Mailing address
550 W VIRGINIA ST, EVANSVILLE, IN 47710-1614
(812) 425-5194
(812) 426-9984
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12011270A
IN
Other
Enumeration date
05/29/2008
Last updated
10/16/2009
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