Advanced Anesthesia Group, LLC
Nurse Anesthetist, Certified Registered in Prescott, AZ. Organization (NPI-2).
NPI number1790720241
StatusActive
Last updated in NPPESAug 3, 2007
Details
- NPI
- 1790720241
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Anesthesia Group, LLC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2006
- Last updated
- Aug 3, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
1680 Willow Creek RdPrescott, AZ 86301-1108
Phone 602-955-1000 · Fax 602-508-4830
Mailing address
4800 N 22nd StPhoenix, AZ 85016-4701
Phone 602-955-1000 · Fax 602-508-4830
Authorized official
Donald Snyder
Cfo
6029551000
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