Whalio Doctors

NPI 1013934728

Edwin E Dupper, CRNA

Practitioner Certified Registered Nurse Anesthetist Loma Linda, CA

Practice location

Address
11234 Anderson St, Loma Linda, CA 92354-2804
Phone
(909) 558-4475
Mailing address
55799 File Number, Los Angeles, CA 90074-5799

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN340918 (CA)

Registry record

NPI
1013934728
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.