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Dr. Michael Edwards, M.D., PhD

Surgery, Plastic and Reconstructive Surgery in Santa Ana, CA. Individual provider (NPI-1).

NPI number1891774147
StatusActive
Last updated in NPPESMar 15, 2010

Details

NPI
1891774147
Entity type
Individual (NPI-1)
Name
Dr. Michael Edwards
Credential
M.D., PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 14, 2006
Last updated
Mar 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive SurgeryA91508CAYes
2086S0122X Surgery, Plastic and Reconstructive SurgeryL2873TX

Practice location

1440 E 1st St
Suite 100
Santa Ana, CA 92701-6384

Phone 714-568-1100 · Fax 714-568-1101

Mailing address

1440 E 1st St
Suite 100
Santa Ana, CA 92701-6384

Phone 714-568-1100 · Fax 714-568-1101

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