Individual
MARJORIE ANTENOR EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1615 W PERSIMMON ST, ROGERS, AR 72756-3359
(479) 636-7192
(479) 631-8212
Mailing address
1615 W PERSIMMON ST, ROGERS, AR 72756-3359
(479) 636-7192
(479) 631-8212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2014015316
MO
207P00000X
Emergency Medicine Physician
E-7010
AR
207Q00000X
Family Medicine Physician
Primary
2014015316
MO
207Q00000X
Family Medicine Physician
E-7010
AR
Other
Enumeration date
08/18/2009
Last updated
04/20/2021
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