Organization
SAN PEDRO ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L. KING CRNA (OWNER)
(602) 273-6770
Entity
Organization
Contact information
Practice address
494 N CARONDELET DR, NOGALES, AZ 85621-2453
(520) 761-1603
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
09/20/2010
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