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Contact Information

CHARLES C EDWARDS, DPM
4315 DIPLOMACY DRIVE
ANCHORAGE, AK99508-5926
 Phone: 907-729-1500
 Fax: 907-729-2082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLES C EDWARDS · (Male)

NPI # 1447291067
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/08/2006
Last updated 08/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 5109
  • AK Medicaid PD26281
Hospital affiliation(s)
  • ALASKA NATIVE MEDICAL CENTER - (Acute Care)
    4315 DIPLOMACY DR
    ANCHORAGE, AK 99508
  • NORTON SOUND REGIONAL HOSPITAL - (Critical Access)
    1000 GREG KRUSCHEK AVENUE (P O BOX 966)
    NOME, AK 99762
  • YUKON KUSKOKWIM DELTA REG HOSPITAL - (Acute Care)
    PO BOX 287
    BETHEL, AK 99559
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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