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Individual

WILLIAM BERT EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
553 S EGAN AVE, BURNS, OR 97720-2252
(541) 573-7192
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260
(575) 396-6611
(575) 396-1454

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-00298
NM

Other

Enumeration date
03/26/2008
Last updated
03/13/2017
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