Provider Demographics
NPI:1033991872
Name:EDWARDS, PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 HPW/USAFSAM/FEEG SCHOOL OF AEROSPACE MEDICINE
Mailing Address - Street 2:2510 5TH STREET BLDG 20-840
Mailing Address - City:WRIGHT PATTERSON AFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433-7913
Mailing Address - Country:US
Mailing Address - Phone:937-938-2744
Mailing Address - Fax:
Practice Address - Street 1:711 HPW/USAFSAM/FEEG SCHOOL OF AEROSPACE MEDICINE
Practice Address - Street 2:2510 5TH STREET BLDG 20-840
Practice Address - City:WRIGHT PATTERSON AFB
Practice Address - State:OH
Practice Address - Zip Code:45433-7913
Practice Address - Country:US
Practice Address - Phone:937-938-2744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171000000XOther Service ProvidersMilitary Health Care Provider