Individual provider · Type 1 NPI

Simon Louis Edwards, PA-C

Medical Physician Assistant · Wheat Ridge, CO

NPI number 1013966092 Active

Practice location

8300 W 38th Ave
Wheat Ridge, CO 80033-6005

Mailing address

126 N Greeley Ave
Johnstown, CO 80534-8516

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X914 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1013966092

Simon Louis Edwards, PA-C's National Provider Identifier is 1013966092, issued on May 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wheat Ridge, CO. The record was last updated on Nov 9, 2007.