Individual
DR. NATHAN DARRELL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1328 E 12TH ST, CASPER, WY 82601-3912
(307) 237-8713
(307) 237-5740
Mailing address
1328 E 12TH ST, CASPER, WY 82601-3912
(307) 237-8713
(307) 237-5740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
337T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
337T
STATE OF WYOMING BOARD OF OPTOMETRY
WY
Enumeration date
05/27/2010
Last updated
01/22/2020
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