Larry Edgerton, CRNA | |
1717 Arlington Ave, Caldwell, ID 83605-4802 | |
(208) 455-3940 | |
Not Available |
Full Name | Larry Edgerton |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1717 Arlington Ave, Caldwell, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215082599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RNA17 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Larry Edgerton, CRNA 1717 Arlington Ave, Caldwell, ID 83605-4802 Ph: (208) 455-3940 | Larry Edgerton, CRNA 1717 Arlington Ave, Caldwell, ID 83605-4802 Ph: (208) 455-3940 |
Daniel Bonilla, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Shad B Westover, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-455-4009 |