Edmonds, David Bruce

Edmonds, David Bruce is an individual health care provider with primary practice located at 657 N Town Center Dr , Las Vegas NV 89144-6367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Edmonds, David Bruce can be contacted via phone (702) 233-7786.

Contact Information

Primary practice address
657 N Town Center Dr Las Vegas NV 89144-6367
Phone: (702) 233-7786
Fax: (702) 233-7423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 8461 Nevada

Profile Details

NPI number 1922084573
LBN Legal business name Edmonds, David Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated May 7th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922084573 NPPES
Nevada MEDICAID 2002100

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