John T Edwards ST

NPI 1376686261 - Radiologic Technologist - 247100000X

NPI Details
NPI 1376686261
Gender Male
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14506 W GRANITE VALLEY DR
SUITE 205
SUN CITY WEST AZ, 85375-6010, US
Phone (623) 584-5626
Fax (623) 584-8998
Business Location
14506 W GRANITE VALLEY DR
SUITE 205
SUN CITY WEST AZ, 85375-6010, US
Phone (623) 584-5626
Fax (623) 584-8998
Toxanomy
Taxonomy Code 247100000X
License State Arizona
License Number PTR1913
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According to our database, Mr. John T Edwards ST NPI is 1376686261, taxonomy code is 247100000X and license number is PTR1913, license state is located at Arizona. John T Edwards ST physically located at 14506 W Granite Valley Dr, Sun City West AZ, 85375-6010. NPI Number John T Edwards ST has the Individual type.

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1376686261 NPI number is provided on an as is basis without warranty of any kind. 1376686261 is maintained by the National Plan & Provider Enumeration System. The contents of John T Edwards ST are for informational purposes only.