Search › Arizona › 363A00000X
Jean Edouard, PA
NPI 1619526217 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6739 W Cactus Rd
Peoria, AZ 85381 - Phone
- (520) 527-8038
- Fax
- (623) 889-0814
- Organisation at this address
- Phoenix Med Ipa Llc
Arizona Doctors, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 22 Parsonage St # 184, Providence, RI
- 5871 Sw 36th Ct Apt 201, Davie, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207Q00000X
246ZC0007X
363A00000X
363A00000X
363A00000X - Licence states on file
- NJ, WI, RI, PR, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-06
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 Arizona