Anjali M Edson, P.A.
Physician Assistant in Bolivar, MO. Individual provider (NPI-1).
NPI number1417202425
StatusActive
Last updated in NPPESOct 11, 2012
Details
- NPI
- 1417202425
- Entity type
- Individual (NPI-1)
- Name
- Anjali M Edson
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2012
- Last updated
- Oct 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2012028254 | MO | Yes |
Practice location
1501 N Oakland AveBolivar, MO 65613-3020
Phone 417-326-7200 · Fax 417-326-7201
Mailing address
2121 E Crawford PlSalina, KS 67401-3719
Phone 785-823-0633 · Fax 785-823-0658
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All 14 Physician Assistant providers in Bolivar · All 534 providers in Bolivar
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