Individual provider · Type 1 NPI
Hannibal Edwards, MD
General Practice Physician · Apple Valley, CA
NPI number
1760808539
Active
Practice location
19814 Tomahawk Rd
Apple Valley, CA 92307-5054
Mailing address
PO Box 1153
Apple Valley, CA 92307-0020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 52552 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Apple Valley
About NPI 1760808539
Hannibal Edwards, MD's National Provider Identifier is 1760808539, issued on Mar 17, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Apple Valley, CA. The record was last updated on Mar 17, 2014.