Doctor Name: | ROBERT L EDWARDS |
NPI Number: | 1023082542 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17820 |
Business Practice Address: | 553 Hunters Run Bossier City, LA - 711118171 |
Business Phone Number: | 3185391028 |
Business Fax Number: | 3185391072 |
Mailing Address: | 553 Hunters Run, BOSSIER CITY |
State: | LA |
Postal Code: | 711118171 |
Phone Number: | 3187289988 |
Fax Number: | 3187289977 |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 12/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 17820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |