NPI 1164427274
Jeffery W Edstrom
Practice location
- Address
- 497 W Lott St, Buffalo, WY 82834-1658
- Phone
- (307) 684-5521
- Fax
- (307) 684-5385
- Mailing address
- 553 N Pinnacle Dr, Buffalo, WY 82834-1416
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1164427274
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jun 2005
- Record last updated
- 3 Jun 2014
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.