Individual
DR. PAUL ROBERT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
123 N YALE ST, NAMPA, ID 83651-2340
(208) 467-7600
(208) 467-7623
Mailing address
123 N YALE ST, NAMPA, ID 83651-2340
(208) 467-7600
(208) 467-7623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C-402
ID
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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