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NPI Code Detail

MEDICARE: JOSHUA DAVID HARDY EDWARDS

MEDICARE: JOSHUA DAVID HARDY EDWARDS
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
12084P0800XPsychiatry Physician114020MT
22084P0800XPsychiatry PhysicianR-11276IA

General Provider Information

NPI Number : 1689168262
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA DAVID HARDY EDWARDS
Provider Business Mailing Address
First Line : 1801 HICKMAN RD
Second Line :
City : DES MOINES
State : IA
Zip : 50314-1597
Country : US
Telephone Number : 515-282-5730
Fax Number : 515-282-5732
Provider Business Practice Location Address
First Line : 2950 10TH AVE N
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0720
Country : US
Telephone Number : 406-238-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 09/28/2022

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Directions to “ JOSHUA DAVID HARDY EDWARDS ” Practice Location

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