Provider Demographics
NPI:1669167334
Name:EDGELL, STEWART CAMERON (MBBS MRCGP FRACGP)
Entity type:Individual
Prefix:DR
First Name:STEWART
Middle Name:CAMERON
Last Name:EDGELL
Suffix:
Gender:M
Credentials:MBBS MRCGP FRACGP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:127 MUGGA WAY
Mailing Address - Street 2:
Mailing Address - City:RED HILL
Mailing Address - State:AUSTRALIAN CAPITAL TERRITORY
Mailing Address - Zip Code:ACT 2603
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HUME HEALTH CENTRE, ALEXANDER MACONOCHIE CENTRE
Practice Address - Street 2:10400 MONARO HIGHWAY
Practice Address - City:HUME
Practice Address - State:AUSTRALIAN CAPITAL TERRITORY
Practice Address - Zip Code:ACT 2620
Practice Address - Country:AU
Practice Address - Phone:612-512-4224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ZZMED0000982983207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine