Organization
EDWARDS ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D EDWARDS CRNA (OWNER)
(208) 220-5660
Entity
Organization
Contact information
Practice address
285 VISTA DR, POCATELLO, ID 83201-4987
(208) 478-1704
Mailing address
PO BOX 2483, IDAHO FALLS, ID 83403-2483
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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