Bila Ashdla Llc

NPI 1316086838 - Specialist - 174400000X

NPI Details
NPI 1316086838
Enumeration Date 02/05/2007
Last Updated 07/08/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWARD JOSEPH EDWARD
Position PSYCHIATRIST
Phone (503) 988-5667
Fax (505) 820-1632
Practice Location
103 S SAINT FRANCIS DR
SUITE C
SANTA FE NM, 87501-2458, US
Phone (503) 988-5667
Fax (505) 820-1632
Business Location
3439 NE SANDY BLVD
PMB 375
PORTLAND OR, 97232-1959, US
Phone (503) 593-9875
Fax (503) 282-3302
Toxanomy
Taxonomy Code 174400000X
License State New Mexico
License Number 89267
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According to our database, Bila Ashdla Llc NPI is 1316086838, taxonomy code is 174400000X and license number is 89267, license state is located at New Mexico. Bila Ashdla Llc physically located at 103 S Saint Francis Dr, Santa Fe NM, 87501-2458. NPI Number 1033115704 has the healthcare provider type.

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1316086838 NPI number is provided on an as is basis without warranty of any kind. 1316086838 is maintained by the National Plan & Provider Enumeration System. The contents of Bila Ashdla Llc are for informational purposes only.