Individual provider · Type 1 NPI

Thomas G. Edwards, PA-C

Medical Physician Assistant · Fort Wayne, IN

NPI number 1023091253 Active

Practice location

2200 Randallia Dr
Fort Wayne, IN 46805-4638

Call (260) 373-4000 Map

Fax (260) 482-4442

Mailing address

3640 New Vision Drive, Suite A
Fort Wayne, IN 46845-1717

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10000133 (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1023091253

Thomas G. Edwards, PA-C's National Provider Identifier is 1023091253, issued on Nov 22, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 13, 2013.