Individual provider · Type 1 NPI

Charles Douglas Edmondson, MD

Specialist · El Dorado, AR

NPI number 1669589040 Active

Practice location

700 W Grove St
El Dorado, AR 71730-4416

Call (870) 862-1577 Map

Mailing address

611 Thompson Ave, P.o. Box 506
El Dorado, AR 71730-4557

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC5187 (AR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669589040

Charles Douglas Edmondson, MD's National Provider Identifier is 1669589040, issued on Aug 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in El Dorado, AR. The record was last updated on Oct 15, 2007.