Whalio Doctors

NPI 1063433761

Edmund C Boese, MD

Practitioner Anesthesiology Physician Rock Springs, WY

Practice location

Address
1200 College Dr, Rock Springs, WY 82901-5868
Phone
(307) 362-3711
Mailing address
255 W Michigan Ave, Jackson, MI 49201-2218

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 5087A (WY)

Registry record

NPI
1063433761
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jul 2006
Record last updated
11 Mar 2008

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.