# SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023245461
- **Authorized official:** JOHN CLIFFORD ALLEN CRNA,MS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (928) 468-3132

## Contact information

- **Practice address:** 114 S MOUNTAIN AVE, WHITE MOUNTAIN SPECIALTY CLINIC, SPRINGERVILLE, AZ 85938-5104
- **Practice address phone:** (928) 468-3132
- **Practice address fax:** (888) 717-3257
- **Mailing address:** PO BOX 1917, SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC, SPRINGERVILLE, AZ 85938-1917
- **Mailing address phone:** (928) 468-3132
- **Mailing address fax:** (888) 717-3257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | FELLOW,CPP \#8633 | AZ | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | FELLOW, CPP \#8633 | AZ | — |
| 367500000X | Certified Registered Nurse Anesthetist | CRNA0632 | AZ | — |

## Other

- **Enumeration date:** 06/11/2009
- **Last updated:** 09/13/2011