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NPI Code Detail

MEDICARE: PETER M EDWARDS M.D.

MEDICARE:   PETER M EDWARDS  M.D.
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 Physician12638MT

General Provider Information

NPI Number : 1871884825
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER M EDWARDS M.D.
Provider Business Mailing Address
First Line : 300 GARNET WAY
Second Line :
City : WARM SPRINGS
State : MT
Zip : 59756-0000
Country : US
Telephone Number : 406-693-7072
Fax Number :
Provider Business Practice Location Address
First Line : 300 GARNET WAY
Second Line :
City : WARM SPRINGS
State : MT
Zip : 59756-0000
Country : US
Telephone Number : 406-693-7072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2011
Last Update Date : 04/26/2011

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Directions to “ PETER M EDWARDS M.D.” Practice Location

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