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General NPI Number Information
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NPI Number | 1386060887
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Entity Type | Individual
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Provider Name | EDWIN Y CHOI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2014
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
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City | FORT LIBERTY
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State | NC
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Zip | 28310-1000
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Country | US
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Telephone | 910-907-8707
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-1100
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Country | US
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Telephone | 253-968-2825
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Fax | 253-968-2608
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28706
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2018-02175
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License Number State | NC
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