Provider Demographics
NPI:1245224781
Name:EDWARDS, BRUCE MONROE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:MONROE
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1890 N 5TH EAST ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:ID
Mailing Address - Zip Code:83647-1774
Mailing Address - Country:US
Mailing Address - Phone:208-587-5587
Mailing Address - Fax:
Practice Address - Street 1:16528 E DESMET CT
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-3522
Practice Address - Country:US
Practice Address - Phone:509-944-8907
Practice Address - Fax:509-227-7070
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2021-05-18
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Provider Licenses
StateLicense IDTaxonomies
NM93-2522083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine