Individual
DR. MARK K EDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22569
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
22569
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35645
MN
Other
Enumeration date
02/13/2006
Last updated
09/10/2020
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