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Organization
SOUTH VALLEY ANESTHESIA, LLC
Active
Organization
SOUTH VALLEY ANESTHESIA, LLC
Active
Other names
South Valley Anesthesia, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HENRY MD (SOLE MEMBER)
(309) 868-2531
Entity
Organization
Contact information
Practice address
36453 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7340
(480) 652-3338
(480) 652-3338
Mailing address
36453 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7340
(602) 903-1527
(309) 692-7226
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/26/2019
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