John R. Edwards M.D.
Psychiatry Physician in Burlington, VT(View on Map)
Full Name
John Ray Edwards M.D.
NPI Number
1649394552
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/17/2007
Specialties
(Taxonomies)Licenses
State
Vermont
License Number
042-0005157
Contact
Information
Purpose
Mailing
Location
Address
118 PINE ST
118 PINE ST
City
Burlington
Burlington
State
VT
VT
Postal Code
05401-8421
05401-8421
Country
US
US
Telephone Number
(802) 658-2767
(802) 658-2767
Identifiers
Identifier
0005380
Identifier State
VT
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/10/2010
Provider Address
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