Jeffery W. Edstrom

NPI #1871916544 in Sheridan, Wyoming

Provider Information

NPI Number
1871916544
Entity Type
Organization
Organization Name
Jeffery W. Edstrom
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 30, 2014
Last Updated
Jun 3, 2014

Practice Location

Address
1524 W 5TH ST
State
Wyoming
ZIP Code
82801-2707
Phone
(307) 672-7874

Authorized Official

Name
KIMBERLY J MEIER, CPC
Title
BILLING MANAGER
Phone
(307) 674-5123

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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