Dr. Mark T Edwards, M.D.
Emergency Medicine in Santa Fe, NM. Individual provider (NPI-1).
NPI number1255368627
StatusActive
Last updated in NPPESOct 5, 2007
Details
- NPI
- 1255368627
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark T Edwards
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2006
- Last updated
- Oct 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 2005-0068 | NM | Yes |
Practice location
455 Saint Michaels DrSanta Fe, NM 87505-7601
Phone 505-983-3361
Mailing address
Po Box 2505Salem, OR 97308-2505
Phone 888-828-3197
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