Search › California › 152W00000X
Corydon Edgecomb, OD
NPI 1558382986 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1287 Broadway
Suite 1
Placerville, CA 95667 - Phone
- (530) 622-7660
- Fax
- (530) 622-3753
- Organisation at this address
- Corydon G Edgecomb Od Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California