Organization
SUNRISE ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RYDBERG (CEO)
(702) 731-8099
Entity
Organization
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109
(702) 731-8099
(702) 731-8292
Mailing address
3196 S MARYLAND PKWY, SUITE 101, LAS VEGAS, NV 89109
(702) 731-8099
(702) 731-8292
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2000656543
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570 95
—
AZ
05
—
XGG007670
—
CA
Enumeration date
02/09/2006
Last updated
09/24/2007
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