Doctor Name: | WILLIAM M EDWARDS |
NPI Number: | 1811905938 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14951 |
Business Practice Address: | 1715 Kuenzli Street Reno, NV - 89502 |
Business Phone Number: | 7753295162 |
Business Fax Number: | 7753344359 |
Mailing Address: | 1715 Kuenzli St, RENO |
State: | NV |
Postal Code: | 895021117 |
Phone Number: | 7753295162 |
Fax Number: | 7753344359 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |