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SOUTH VALLEY ANESTHESIA LLC NPI 1568977114


NPI Information

NPI: 1568977114
Provider Name: SOUTH VALLEY ANESTHESIA, LLC

Former Legal Business Name: SOUTH VALLEY ANESTHESIA, LLC

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
36453 N GANTZEL RD STE 101
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 652-3338
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SOUTH VALLEY ANESTHESIA, LLC is a pain medicine anesthesiology in San Tan Valley, AZ. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. SOUTH VALLEY ANESTHESIA, LLC NPI is 1568977114. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is South Valley Anesthesia, Llc.

The provider's business location address is:

36453 N GANTZEL RD STE 101
SAN TAN VALLEY, AZ
ZIP 85140-340
Phone: (480) 652-3338
Fax: (480) 652-3338

The provider's authorized official is Kevin Henry .
The authorized official title is Sole Member and has the following contact phone number (309) 868-2531.

The enumeration date for this NPI number is 12/5/2017 and was last updated on 12/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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