Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY TODD EDMONDS, D.O.
ActiveJEREMY TODD EDMONDS, D.O. is a Family Medicine healthcare provider located in MORIARTY, New Mexico. NPI 1932116472 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MORIARTY, NM
Registration Details
- NPI Number
- 1932116472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (19.890751730048 yrs)
- Last Updated
- Jul 9, 2007
- License
-
A-1270-04 (NM)
Practice Information
- Address
-
1108 CENTRAL AVE SWMORIARTY, NM, 870351520Browse NM providers · Browse ZIP 87035
- Phone
- 5058324434
- Fax
- 5058325024
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.