Individual
RUSSELL PHILIP EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3969 4TH AVE, STE 301, SAN DIEGO, CA 92103-3165
(619) 291-6191
(619) 291-0049
Mailing address
3969 4TH AVE, STE 301, SAN DIEGO, CA 92103-3165
(858) 566-0686
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G57008
CA
Other
Enumeration date
06/17/2005
Last updated
02/11/2019
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