Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 113184 | MO |
NPI | 1023125713 |
---|---|
Provider Name | Dr. James M Edwards |
First Address | Kansas City, MO 64180-1143 |
Second Address | Cape Girardeau, MO 63703-4928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 09/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H85875 | (02) | MO |