person
Dr. Jared Ray Edwards, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1457905853

Jared Ray Edwards is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Jared Ray Edwards practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Jared Ray Edwards is 1457905853 and holds a License No. (California).

The current practice location address for Jared Ray Edwards is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-8666.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-1098
person
Provider Profile Details
NPI Number
1457905853
Provider Name
Jared Ray Edwards
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr, San Diego, CA, 92134-1098
Phone Number
619-532-8666
Fax Number
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-3011
Phone Number
619-532-8666
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-3011
Phone Number
619-532-8666
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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