Provider Demographics
NPI:1144268996
Name:EDWARDS, RACHEL BROWN (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:BROWN
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:BROWN
Other - Last Name:JEFFERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:425 HUNTINGTON TRAILS DR
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-5460
Mailing Address - Country:US
Mailing Address - Phone:314-324-8957
Mailing Address - Fax:636-933-1010
Practice Address - Street 1:1400 US HIGHWAY 61
Practice Address - Street 2:
Practice Address - City:CRYSTAL CITY
Practice Address - State:MO
Practice Address - Zip Code:63019
Practice Address - Country:US
Practice Address - Phone:636-933-1014
Practice Address - Fax:636-933-1010
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005032248207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine