-- JEFFERY W EDSTROM --
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1164427274- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 497 W LOTT ST, BUFFALO, WY, 828341658
- Phone
- (307) 684-5521
- Fax
- (307) 684-5385
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: WI #129337