Scott Brian Edwards M.D.

NPI 1114220589 - Preventive Medicine - 2083X0100X

NPI Details
NPI 1114220589
Gender Male
Enumeration Date 12/07/2010
Last Updated 04/25/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
50680 PHEASANT COVE DR
GRANGER IN, 46530-7583, US
Phone (574) 273-9947
Fax
Business Location
50680 PHEASANT COVE DR
GRANGER IN, 46530-7583, US
Phone (574) 273-9947
Fax
Toxanomy
Taxonomy Code 2083X0100X
License State Indiana
License Number 01034800A
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According to our database, Dr. Scott Brian Edwards M.D. NPI is 1114220589, taxonomy code is 2083X0100X and license number is 01034800A, license state is located at Indiana. Scott Brian Edwards M.D. physically located at 50680 Pheasant Cove Dr, Granger IN, 46530-7583. NPI Number Scott Brian Edwards M.D. has the Individual type.

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1114220589 NPI number is provided on an as is basis without warranty of any kind. 1114220589 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Brian Edwards M.D. are for informational purposes only.