NPI 1255654216
Chad O Edwards, MSRD
Practice location
- Address
- 975 S Fairmont Ave, Lodi, CA 95240-5118
- Phone
- (209) 339-7137
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1255654216
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Mar 2010
- Record last updated
- 4 Mar 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.