Organization
AVALOS ANESTHESIA SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN M AVALOS CRNA (OWNER/PRESIDENT)
(928) 368-8118
Entity
Organization
Contact information
Practice address
651 W MINGUS AVE STE 2A, COTTONWOOD, AZ 86326-4017
(928) 649-4480
(928) 634-8118
Mailing address
580 BLACK HILLS DR, CLARKDALE, AZ 86324-3734
(928) 368-8118
(928) 368-8121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AZ18262
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750316
—
AZ
Enumeration date
05/05/2008
Last updated
06/16/2008
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