Individual
DAVID DUSTIN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2000
Mailing address
5210 PLEASANT UNITY RD, LATROBE, PA 15650-5108
(208) 220-5660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN664884
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
57362
ID
Other
Enumeration date
11/09/2016
Last updated
03/15/2021
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