Doctor Name: | MARK EDELSTEIN |
NPI Number: | 1669444352 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2010007571 |
Business Practice Address: | 545 Branson Landing Blvd Suite 508 Branson, MO - 656164500 |
Business Phone Number: | 4173357540 |
Business Fax Number: | 4173357588 |
Mailing Address: | 545 Branson Landing Blvd, Suite 508 BRANSON |
State: | MO |
Postal Code: | 656164500 |
Phone Number: | 4173357540 |
Fax Number: | 4173357588 |
NPI Enumeration Date: | 02/06/2006 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 2010007571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |