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Individual

JAMES J EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
380 CHASE AVE, CONVENIENT CARE, WALLA WALLA, WA 99362-2924
(509) 522-5171
(509) 522-5899
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00019832
WA
207Q00000X
Family Medicine Physician
Primary
MD00019832
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150600
OR
05
1932115169
WA
Enumeration date
07/31/2006
Last updated
04/16/2021
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