Individual
EDSON E CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(937) 829-0203
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020575
OH
Other
Enumeration date
07/26/2022
Last updated
08/17/2023
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