Individual
DR. JOHN C EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-3760
Mailing address
1801 HICKORY ST, SAINT LOUIS, MO 63104-2929
(314) 623-1610
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200501908
NC
Other
Enumeration date
06/29/2006
Last updated
01/13/2021
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