Individual
MR. CRAIG BRIAN EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
474 HUDSON AVE, REPUBLIC, MO 65738-2136
(417) 619-1128
Mailing address
474 HUDSON AVE, REPUBLIC, MO 65738-2136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022030126
MO
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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