Individual
EDWARD L PIEPER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5999
(315) 801-3329
(315) 801-3072
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 315, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101.0083675
VT
367500000X
Certified Registered Nurse Anesthetist
561255
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
561255-1
NY
367500000X
Certified Registered Nurse Anesthetist
RN2278195
MA
Other
Enumeration date
01/07/2010
Last updated
06/13/2019
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