Healthcare Provider Details

I. General information

NPI: 1700169570
Provider Name (Legal Business Name): WILLIAM ALEXANDER EDWARDS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 GOLDEN GATE AVE APT 304
SAN FRANCISCO CA
94115-4660
US

IV. Provider business mailing address

1440 GOLDEN GATE AVE APT 304
SAN FRANCISCO CA
94115-4660
US

V. Phone/Fax

Practice location:
  • Phone: 215-906-9838
  • Fax:
Mailing address:
  • Phone: 215-906-9838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number26635
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: