R. Dewayne Edwards, D.o., PC

NPI #1922538487 in Thornton, Colorado

Provider Information

NPI Number: 1922538487
Entity Type: Organization
Organization Name: R. Dewayne Edwards, D.o., PC
Primary Specialty: Surgery
Enumeration Date: Jun 18, 2017
Last Updated: Jun 18, 2017

Practice Location

Address: 9351 GRANT ST STE 400
City: Thornton
State: Colorado
ZIP Code: 80229-4375
Phone: (803) 541-1517

Authorized Official

Name: DR. ROY DEWAYNE EDWARDS, DO
Title: PRESIDENT
Phone: (803) 541-1517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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