Individual
DR. BRANDON JAY EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(801) 500-2475
Mailing address
701 SOUTH ST STE 100, MOUNTAIN HOME, AR 72653-4452
(801) 500-2475
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
233514
AR
Other
Enumeration date
09/19/2023
Last updated
07/23/2025
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