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NPI Verification

National Provider Identifier: 1164624961

Edwin Otis Edgerton, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

129 ELMWOOD DR

WEST MONROE, LA 712912115

Phone: 318-396-6725

NPI Enumeration Date

June 4, 2007

NPI Number

1164624961

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry