Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | R2916 | KY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2017013100 | MO |
NPI | 1235498114 |
---|---|
Provider Name | Dr. Alexandra Marie Edwards |
First Address | Saint Louis, MO 63141-8265 |
Second Address | Saint Louis, MO 63141-8265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2012 |
Last Update Date | 06/10/2020 |