MEDICARE: ALYSA F EDWARDS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	DR.0071539	CO
2	207P00000X	Emergency Medicine Physician	0071539	CO

General Provider Information

NPI Number	:	1285380261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSA F EDWARDS MD

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-526-7111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-526-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	01/10/2026

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Directions to “ ALYSA F EDWARDS MD” Practice Location

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