Edwards, Russell Philip

Edwards, Russell Philip is an individual health care provider with primary practice located at 3969 4Th Ave Ste 301, San Diego CA 92103-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Edwards, Russell Philip can be contacted via phone (619) 291-6191.

Contact Information

Primary practice address
3969 4Th Ave Ste 301 San Diego CA 92103-3165
Phone: (619) 291-6191
Fax: (619) 291-0049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G57008 California

Profile Details

NPI number 1922003706
LBN Legal business name Edwards, Russell Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 11th, 2019 - about 5 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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