Individual
MR. EDMON LISTON MAPP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
163 BOONER MILLER RD, DEVILLE, LA 71328-9445
(318) 443-1700
(318) 443-1703
Mailing address
163 BOONER MILLER RD, DEVILLE, LA 71328-9445
(318) 443-1700
(318) 443-1703
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
40557
LA
367500000X
Certified Registered Nurse Anesthetist
704026
TX
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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