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NPI 1235125212 · live from the CMS NPI Registry

David G Edwards, DPM

Podiatrist, Foot & Ankle Surgery in Logan, UT. National Provider Identifier 1235125212, active.

NPI record

NPI1235125212 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location550 E 1400 N Ste Y, Logan, UT 84341
Practice phone435-757-6542
Mailing addressPo Box 404, Riverton, UT 84065
EnumeratedSeptember 23, 2005
Last updatedSeptember 7, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X105109-0501 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.