Dr. Mark K Edwin, M.D.
Internal Medicine, Hospice and Palliative Medicine in Phoenix, AZ. Individual provider (NPI-1).
NPI number1912970534
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1912970534
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark K Edwin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2006
- Certification date
- Sep 10, 2020
- Last updated
- Sep 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 22569 | AZ | Yes |
| 207R00000X | Internal Medicine | 22569 | AZ | |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 35645 | MN |
Practice location
5777 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-301-8000
Mailing address
5777 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-301-8000
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