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1689635914
EDWARD K MADSEN
PRICE, UT
NPI
1689635914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: UT 1612038905)
Enumeration Date
2006-03-28
Last Update Date
2014-09-27
Business Address
-- EDWARD K MADSEN PC
590 E 100 N STE 4
PRICE, UT 84501
Phone number: 435-637-7551
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Mailing Address
-- EDWARD K MADSEN PC
PO BOX 958
PRICE, UT 84501-0958
Phone number:
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EDWARD K. MADSEN, M.D., A PROFESSIONAL CORPORATION