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Hannibal Edwards, MD
General Practice Physician in Apple Valley, California
NPI 1760808539

Hannibal Edwards is a General Practice Physician based in Apple Valley, CA. Hannibal Edwards practices in Apple Valley, CA and has the professional credentials of MD. The NPI Number for Hannibal Edwards is 1760808539 and holds a License No. 52552 (California).

The current practice location address for Hannibal Edwards is 19814 Tomahawk Rd, Apple Valley, CA and can be reached out via phone at 760-242-1903.

Location: 19814 Tomahawk Rd, Apple Valley, CA, 92307-0020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760808539
Provider Name
Hannibal Edwards
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19814 Tomahawk Rd, Apple Valley, CA, 92307-0020
Phone Number
760-242-1903
Fax Number
Provider Enumeration Date
03/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19814 Tomahawk Rd
City
Apple Valley
State
California
Zip
92307-5054
Phone Number
760-242-1903
Fax Number
person
Provider Business Mailing Address Details
Address
19814 Tomahawk Rd
City
Apple Valley
State
California
Zip
92307-5054
Phone Number
760-242-1903
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
52552 (Georgia)
Definition
Definition to come...
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