MEDICARE: DR. JOSEPH TERMINEL 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	207V00000X	Obstetrics & Gynecology Physician	19400	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	031815	OTHER	AZ	MEDICARE
2	031916	OTHER	AZ	MEDICARE
4	ZFQ31815	OTHER		MEDICARE
5	Z165308	OTHER	AZ	MEDICARE
6	031881	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548248776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH TERMINEL EDWARDS MD

Provider Business Mailing Address
First Line	:	1081 N CHINA LAKE BLVD
Second Line	:
City	:	RIDGECREST
State	:	CA
Zip	:	93555-3130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 N CHINA LAKE BLVD
Second Line	:
City	:	RIDGECREST
State	:	CA
Zip	:	93555-3130
Country	:	US
Telephone Number	:	760-499-3640
Fax Number	:	760-499-7229

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	05/17/2021

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Directions to “ DR. JOSEPH TERMINEL EDWARDS MD” Practice Location

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