Edwards Enterprises LLC

NPI #1003380783 in Pocatello, Idaho

Provider Information

NPI Number
1003380783
Entity Type
Organization
Organization Name
Edwards Enterprises LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 16, 2019
Last Updated
Jan 16, 2019

Practice Location

Address
285 VISTA DR
State
Idaho
ZIP Code
83201-4987
Phone
(208) 478-1704

Authorized Official

Name
DAVID D EDWARDS, CRNA
Title
OWNER
Phone
(208) 220-5660

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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