Individual
CHRISTOPHER LEIF EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2330 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 542-7060
Mailing address
810 N 650 E # 8, BASALT, ID 83218-7706
(208) 243-4520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78244
ID
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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