John C. Edwards MD Inc.

NPI #1881859973 in Bountiful, Utah

Provider Information

NPI Number: 1881859973
Entity Type: Organization
Organization Name: John C. Edwards MD Inc.
Primary Specialty: Specialist
Enumeration Date: Jul 28, 2008
Last Updated: Jul 28, 2008

Practice Location

Address: 1551 RENAISSANCE TOWNE DR
Address 2: SUITE 400
City: Bountiful
State: Utah
ZIP Code: 84010-7667
Phone: (801) 295-7200

Authorized Official

Name: DR. JOHN COVEY EDWARDS, MD
Title: CORPORATE PRESIDENT
Phone: (801) 295-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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